Provider Demographics
NPI:1154561306
Name:DARGEL, ROBERT HAROLD (MSW, LCSW, CEAP)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:HAROLD
Last Name:DARGEL
Suffix:
Gender:M
Credentials:MSW, LCSW, CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2547 W GUNNISON ST
Mailing Address - Street 2:FLOOR 2
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-2813
Mailing Address - Country:US
Mailing Address - Phone:773-841-6450
Mailing Address - Fax:773-728-1990
Practice Address - Street 1:2547 W GUNNISON ST
Practice Address - Street 2:FLOOR 2
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-2813
Practice Address - Country:US
Practice Address - Phone:773-841-6450
Practice Address - Fax:773-728-1990
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-01
Last Update Date:2009-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0111901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical