Provider Demographics
NPI:1528245099
Name:GLIM, JOSEPH T (LCSW)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:T
Last Name:GLIM
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 1:233 W JOE ORR RD
Mailing Address - Street 2:
Mailing Address - City:CHICAGO HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60411-1744
Mailing Address - Country:US
Mailing Address - Phone:708-754-1044
Mailing Address - Fax:708-747-3497
Practice Address - Street 1:101 S BROADWAY
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60505-4276
Practice Address - Country:US
Practice Address - Phone:630-859-6558
Practice Address - Fax:708-747-3497
Is Sole Proprietor?:No
Enumeration Date:2008-01-28
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical