| Birchwood Clinic, Llc | |
|
2302 W North Ave Ste 1e Chicago IL 60647-9755 | |
| (312) 806-2140 | |
| Not Available |
| Full Name | Birchwood Clinic, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2302 W North Ave Ste 1e, Chicago, Illinois |
| Authorized Official Name and Position | Susan Marie Bush (PSYCHOLOGIST, OWNER) |
| Authorized Official Contact | 3128062140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Birchwood Clinic, Llc 2302 W North Ave Ste 1e Chicago IL 60647-9755 Ph: (312) 806-2140 | Birchwood Clinic, Llc 2302 W North Ave Ste 1e Chicago IL 60647-9755 Ph: (312) 806-2140 |
| NPI Number | 1104336114 |
|---|---|
| Provider Enumeration Date | 10/04/2017 |
| Last Update Date | 10/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104336114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071009612 (Illinois) | Primary |
Philip K Mccullough Md Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Huron St, Suite 11-100, Chicago, IL 60611 Phone: 312-695-3680 Fax: 312-926-3709 | |
Amy Lynn, Lcpc, Atr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3020 N Lincoln Ave, Flourish Studios, Chicago, IL 60657 Phone: 773-746-7429 | |
K.a.m Alliance, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2215 W 95th St Ste 100, Chicago, IL 60643 Phone: 773-239-9600 Fax: 773-239-9601 | |
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