| Bucktown Therapy | |
|
1820 W Webster Ave Ste 200 Chicago IL 60614-2934 | |
| (630) 733-8595 | |
| Not Available |
| Full Name | Bucktown Therapy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1820 W Webster Ave Ste 200, Chicago, Illinois |
| Authorized Official Name and Position | Kristin Ridder (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9204181165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bucktown Therapy 3125 W Fullerton Ave Apt 212 Chicago IL 60647-6959 Ph: (920) 418-1165 | Bucktown Therapy 1820 W Webster Ave Ste 200 Chicago IL 60614-2934 Ph: (630) 733-8595 |
| NPI Number | 1962032086 |
|---|---|
| Provider Enumeration Date | 01/16/2020 |
| Last Update Date | 01/16/2020 |
| Certification Date | 01/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962032086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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