NPI 1003104472

Herbert T Cobbs, CADC

Practitioner Addiction (Substance Use Disorder) Counselor Chicago, IL

Practice location

Address: 4740 N Clark St, Chicago, IL 60640-4689
Phone: (773) 769-0205
Fax: (773) 765-0794

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 23823 (IL)

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Registry record

NPI: 1003104472
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jul 2011
Record last updated: 19 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.