Provider Demographics
NPI:1699093153
Name:PIEKARZ, WILLIAM S (LCSW)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:S
Last Name:PIEKARZ
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:738 WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:ITASCA
Mailing Address - State:IL
Mailing Address - Zip Code:60143-1467
Mailing Address - Country:US
Mailing Address - Phone:630-285-1808
Mailing Address - Fax:630-775-1640
Practice Address - Street 1:2625 BUTTERFIELD RD
Practice Address - Street 2:STE 103W
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-3418
Practice Address - Country:US
Practice Address - Phone:630-418-5316
Practice Address - Fax:630-586-3800
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-08
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0140691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical