Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Collaborative Counseling Group of Illinois PLLC

Organization Clinical Social Worker · NPI 1730810318

Collaborative Counseling Group of Illinois PLLC provides Clinical Social Worker services in Mundelein, Illinois. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

201 Maplewood Ave
Mundelein, IL 60060-4129
Phone: (847) 807-5622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1730810318
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Damien Jackson — Owner · (224) 766-9993
NPI enumeratedJune 23, 2022
Last updated in NPPESJune 23, 2022
Certification dateJune 23, 2022
Mailing address1 N Oplaine Rd Unit 114, Gurnee, IL 60031-0804

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