Company Details Tracker
Legal and billing details for each Cedar Hollow group
| Group | Legal name | W-9 legal name | Type 2 group NPI | Tax ID | Address | Billing address | Contact | W-9 |
|---|---|---|---|---|---|---|---|---|
| Evanston | Cedar Hollow Counseling Group, LLC | Cedar Hollow Counseling Group, LLC | 1083016613 | 00-4417302 | 1820 Ridge Ave, Suite 300, Evanston, IL 60201 | PO Box 4410, Evanston, IL 60204 | credentialing@cedarhollow.example, (847) 555-0142 | W-9 (PDF) |
| Oak Park | Cedar Hollow Family Therapy, LLC | Cedar Hollow Family Therapy, PLLC | 1186091390 | 00-5528114 | 1043 Lake St, Oak Park, IL 60301 | PO Box 4410, Evanston, IL 60204 | credentialing@cedarhollow.example, (847) 555-0142 | W-9 (PDF) |
| Naperville | Cedar Hollow Psychiatry & Wellness, LLC | Cedar Hollow Psychiatry & Wellness, LLC | 1996030824 | 00-6630925 | 55 S Main St, Suite 210, Naperville, IL 60540 | PO Box 4410, Evanston, IL 60204 | credentialing@cedarhollow.example, (847) 555-0142 | W-9 (PDF) |