Provider Demographics
NPI:1306519244
Name:HILBURN, ALEXANDRA REICH (LCSW)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:REICH
Last Name:HILBURN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:ARTIANO
Other - Last Name:REICH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:125 WINDSOR DR STE 111
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-4081
Mailing Address - Country:US
Mailing Address - Phone:630-728-1744
Mailing Address - Fax:
Practice Address - Street 1:2500 S HIGHLAND AVE STE 325
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-5390
Practice Address - Country:US
Practice Address - Phone:630-728-1744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-27
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.023209101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional