Provider Demographics
NPI:1124159124
Name:WHITE STONE RESOURCES LTD.
Entity type:Organization
Organization Name:WHITE STONE RESOURCES LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:C
Authorized Official - Last Name:WUNDERLICH
Authorized Official - Suffix:JR
Authorized Official - Credentials:LCPC
Authorized Official - Phone:847-821-9346
Mailing Address - Street 1:318 W HALF DAY RD
Mailing Address - Street 2:PMB 284
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-6547
Mailing Address - Country:US
Mailing Address - Phone:847-821-9346
Mailing Address - Fax:
Practice Address - Street 1:675 N NORTH CT
Practice Address - Street 2:SUITE 215
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-8157
Practice Address - Country:US
Practice Address - Phone:847-821-9346
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty