| Center For Cognitive-behavioral And Prescriptive Psychotherapy, Ltd. | |
|
28w641 Indian Knoll Rd West Chicago IL 60185-1705 | |
| (630) 520-0685 | |
| (630) 520-0685 |
| Full Name | Center For Cognitive-behavioral And Prescriptive Psychotherapy, Ltd. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 28w641 Indian Knoll Rd, West Chicago, Illinois |
| Authorized Official Name and Position | T. Mark Harwood (CEO) |
| Authorized Official Contact | 6305200685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Cognitive-behavioral And Prescriptive Psychotherapy, Ltd. 28w641 Indian Knoll Rd West Chicago IL 60185-1705 Ph: (630) 520-0685 | Center For Cognitive-behavioral And Prescriptive Psychotherapy, Ltd. 28w641 Indian Knoll Rd West Chicago IL 60185-1705 Ph: (630) 520-0685 |
| NPI Number | 1922391424 |
|---|---|
| Provider Enumeration Date | 05/17/2011 |
| Last Update Date | 08/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922391424 | NPI | - | NPPES |
| 12037089 | Other | IL | UNIVERSAL PROVIDER DATA SOURCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 071.007550 (Illinois) | Primary |
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