Provider Demographics
NPI:1912458084
Name:PARQUETTE, JOHN JOSEPH (LCSW)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:JOSEPH
Last Name:PARQUETTE
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 1:3328 HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:ISLAND LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60042-9534
Mailing Address - Country:US
Mailing Address - Phone:815-245-9556
Mailing Address - Fax:847-726-2409
Practice Address - Street 1:1 GOLFVIEW RD
Practice Address - Street 2:
Practice Address - City:LAKE ZURICH
Practice Address - State:IL
Practice Address - Zip Code:60047-1210
Practice Address - Country:US
Practice Address - Phone:847-726-2400
Practice Address - Fax:847-726-2409
Is Sole Proprietor?:No
Enumeration Date:2016-10-24
Last Update Date:2019-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0065121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical