| Chicago Center For Psychotherapy Llc | |
|
137 N Oak Park Ave Ste 327 Oak Park IL 60301-1375 | |
| (708) 848-0491 | |
| (708) 848-2876 |
| Full Name | Chicago Center For Psychotherapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 137 N Oak Park Ave Ste 327, Oak Park, Illinois |
| Authorized Official Name and Position | Nicole M Rea (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7089960699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chicago Center For Psychotherapy Llc 137 N Oak Park Ave Ste 327 Oak Park IL 60301-1375 Ph: (708) 848-0491 | Chicago Center For Psychotherapy Llc 137 N Oak Park Ave Ste 327 Oak Park IL 60301-1375 Ph: (708) 848-0491 |
| NPI Number | 1841589462 |
|---|---|
| Provider Enumeration Date | 04/05/2011 |
| Last Update Date | 02/03/2022 |
| Certification Date | 02/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841589462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071-004882 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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