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Provider Information for 1114586807


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Mr. NATHAN CASH LCPC


Other Names:  
Other Name: 
Mr. NATHAN CASH LCPC

Sex: Male

NPI: 1114586807
Last Updated: 2019-06-06
Certification Date:

Details

NameValue
NPI1114586807
Enumeration Date2019-06-06
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1440 RENAISSANCE DR STE 125
PARK RIDGE, IL 60068-1414
United States

Phone: 224-585-3312 | Fax:
 
Primary Practice Address 1440 RENAISSANCE DR STE 125
PARK RIDGE, IL 60068-1414
United States

Phone: 224-585-3312 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalIL180.012104