| Centrum Counseling & Phobia Clinic | |
|
1101 Lake St #201 Oak Park IL 60301 | |
| (708) 386-7974 | |
| (708) 386-7977 |
| Full Name | Centrum Counseling & Phobia Clinic |
|---|---|
| Speciality | Psychologist |
| Location | 1101 Lake St, Oak Park, Illinois |
| Authorized Official Name and Position | Marvin R Cohen (PSYCHOLOGIST PRESIDENT OF CORP) |
| Authorized Official Contact | 7083867974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centrum Counseling & Phobia Clinic 1101 Lake St #201 Oak Park IL 60301 Ph: (708) 386-7974 | Centrum Counseling & Phobia Clinic 1101 Lake St #201 Oak Park IL 60301 Ph: (708) 386-7974 |
| NPI Number | 1366581829 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 08/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366581829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | I1071003499 (Illinois) | Primary |
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