1720714702 NPI number — ASK US COUNSELING SERVICES, LLC

Table of content: EARL RODNEY HORNBAKE III MD (NPI 1770584906)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720714702 NPI number — ASK US COUNSELING SERVICES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ASK US COUNSELING SERVICES, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1720714702
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/30/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9241 S IL ROUTE 31
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAKE IN THE HILLS
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60156-1607
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
847-854-4333
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
850 VANDALIA ST STE 200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COLLINSVILLE
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
62234-4068
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
847-854-4333
Provider Business Practice Location Address Fax Number:
847-854-4334
Provider Enumeration Date:
08/01/2022

Additional Information

Authorized Official

Authorized Official Last Name:
FLEEGE
Authorized Official First Name:
DEBORAH
Authorized Official Middle Name:
M
Authorized Official Title or Position:
PRACTICE MANAGER
Authorized Official Telephone Number:
847-854-4333

Provider Taxonomy Codes

  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM0850X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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