Provider Demographics
NPI:1063620342
Name:MUHAMMAD, EUNICE CORDELIA MILLER (LCSW, BC-TMH)
Entity type:Individual
Prefix:MRS
First Name:EUNICE
Middle Name:CORDELIA MILLER
Last Name:MUHAMMAD
Suffix:
Gender:F
Credentials:LCSW, BC-TMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18W140 BUTTERFIELD RD STE 1500
Mailing Address - Street 2:
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181-4854
Mailing Address - Country:US
Mailing Address - Phone:708-776-1094
Mailing Address - Fax:
Practice Address - Street 1:18W140 BUTTERFIELD RD STE 1500
Practice Address - Street 2:
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181-4854
Practice Address - Country:US
Practice Address - Phone:708-776-1094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010802401041C0700X
IL1490113541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical