| Prism Health | |
|
580 Roger Williams Ave Ste 21 Highland Park IL 60035-4820 | |
| (773) 968-3117 | |
| Not Available |
| Full Name | Prism Health |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 580 Roger Williams Ave Ste 21, Highland Park, Illinois |
| Authorized Official Name and Position | Astrid Hesse (OWNER) |
| Authorized Official Contact | 7739683117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prism Health 6547 N Maplewood Ave Chicago IL 60645-5317 Ph: (773) 968-3117 | Prism Health 580 Roger Williams Ave Ste 21 Highland Park IL 60035-4820 Ph: (773) 968-3117 |
| NPI Number | 1770118176 |
|---|---|
| Provider Enumeration Date | 03/05/2020 |
| Last Update Date | 02/10/2023 |
| Certification Date | 02/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770118176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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