| Change Resources Inc | |
|
1100 Lake St Oak Park IL 60301-1015 | |
| (708) 203-6625 | |
| Not Available |
| Full Name | Change Resources Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1100 Lake St, Oak Park, Illinois |
| Authorized Official Name and Position | Richard W Ackley (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7082036625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Change Resources Inc 1100 Lake St Oak Park IL 60301-1015 Ph: (708) 203-6625 | Change Resources Inc 1100 Lake St Oak Park IL 60301-1015 Ph: (708) 203-6625 |
| NPI Number | 1023145562 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023145562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Illinois) | Primary |
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