Provider Demographics
NPI:1548997810
Name:DUSZYNSKA, URSZULA MARIA (LSW, CADC)
Entity type:Individual
Prefix:
First Name:URSZULA
Middle Name:MARIA
Last Name:DUSZYNSKA
Suffix:
Gender:F
Credentials:LSW, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 LAKE COOK RD STE 203
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-4993
Mailing Address - Country:US
Mailing Address - Phone:224-303-4099
Mailing Address - Fax:224-261-8772
Practice Address - Street 1:405 LAKE COOK RD
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-4993
Practice Address - Country:US
Practice Address - Phone:224-303-4099
Practice Address - Fax:224-261-8772
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-05
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
IL150.105843104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker