BO NOORDHOFF THERAPY PLLC NPI 1093475162

NPI Information

NPI: 1093475162
Provider Name: BO NOORDHOFF THERAPY, PLLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
661 W LAKE ST STE 2S
CHICAGO, IL
ZIP 60661
Phone: (708) 320-9330
Get Directions

BO NOORDHOFF THERAPY, PLLC is a professional counselor in Chicago, IL. BO NOORDHOFF THERAPY, PLLC NPI is 1093475162. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

661 W LAKE ST STE 2S
CHICAGO, IL
ZIP 60661-034
Phone: (708) 320-9330
Fax: (888) 282-4759

The provider's authorized official is Boramie Kim Noordhoff .
The authorized official title is Owner/psychotherapist and has the following contact phone number (708) 320-9330.

The enumeration date for this NPI number is 12/30/2021 and was last updated on 7/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1477839629	OTHER		NPPES
2	180.014033	OTHER	ILLINOIS	IDFPR
3	LC5558	OTHER	MARYLAND	MARYLAND BOARD OF PROFESSIONAL COUNSELORS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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