| Chicago Center For Growth And Change, Llc | |
|
25 E Washington St Ste 1717 Chicago IL 60602-1839 | |
| (312) 566-8536 | |
| Not Available |
| Full Name | Chicago Center For Growth And Change, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 25 E Washington St Ste 1717, Chicago, Illinois |
| Authorized Official Name and Position | Jodie Erin Singer (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3125668536 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chicago Center For Growth And Change, Llc 5246 W Carmen Ave Chicago IL 60630-2211 Ph: (312) 566-8536 | Chicago Center For Growth And Change, Llc 25 E Washington St Ste 1717 Chicago IL 60602-1839 Ph: (312) 566-8536 |
| NPI Number | 1255793360 |
|---|---|
| Provider Enumeration Date | 03/28/2016 |
| Last Update Date | 07/21/2023 |
| Certification Date | 03/06/2023 |
| Medicare PECOS PAC ID | 3678856598 |
|---|---|
| Medicare Enrollment ID | O20170220000403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255793360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071008093 (Illinois) | Primary |
| Provider Name | Jodie Erin Singer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720394356 PECOS PAC ID: 2062795719 Enrollment ID: I20170203001748 |
| Provider Name | Brittany Lakin-starr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023316254 PECOS PAC ID: 6305129222 Enrollment ID: I20170220000619 |
| Provider Name | April B Crawford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033630959 PECOS PAC ID: 8527332469 Enrollment ID: I20190806002399 |
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