Provider Demographics
NPI:1447082276
Name:ESKELUND, SCOTTIE (LCPC)
Entity type:Individual
Prefix:
First Name:SCOTTIE
Middle Name:
Last Name:ESKELUND
Suffix:
Gender:X
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6177 N LINCOLN AVE # 280
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-2313
Mailing Address - Country:US
Mailing Address - Phone:847-701-5394
Mailing Address - Fax:
Practice Address - Street 1:6177 N LINCOLN AVE # 280
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-2313
Practice Address - Country:US
Practice Address - Phone:847-701-5394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.016235101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health