Irene M Houlihan, LSW

Individual provider Active NPI Social Worker · Countryside, IL

NPI 1386844181 · NPPES record last updated Jul 19, 2007

Key facts

NPI
1386844181
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
Practice address
9649 W 55TH St
Countryside, IL 60525-3632
Phone
(708) 352-3580
NPI assigned
Jul 19, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
150011016ILMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X IL Yes

Addresses

Primary practice location

9649 W 55TH St
Countryside, IL 60525-3632

Mailing address

951 Thomas St
Oak Park, IL 60302-1575

Other providers in Countryside, IL

All providers in Countryside, IL · Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.