Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1041C0700X | Clinical Social Worker | ||
Y | 1041C0700X | Clinical Social Worker | 149.013393 | IL |
NPI | 1003053786 |
---|---|
Provider Name | Aren M. Drehobl |
First Address | Chicago, IL 60660-5333 |
Second Address | Chicago, IL 60660 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2009 |
Last Update Date | 09/07/2018 |