Chicago Psychological Services, Inc. | |
3633 Breakers Dr Apt 329 Olympia Fields IL 60461-1063 | |
(773) 263-8855 | |
Not Available |
Full Name | Chicago Psychological Services, Inc. |
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Speciality | Clinic/center - Adult Mental Health |
Location | 3633 Breakers Dr Apt 329, Olympia Fields, Illinois |
Authorized Official Name and Position | John B Houck (PRESIDENT) |
Authorized Official Contact | 7732638855 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Chicago Psychological Services, Inc. 3633 Breakers Dr Apt 329 Olympia Fields IL 60461-1063 Ph: (773) 263-8855 | Chicago Psychological Services, Inc. 3633 Breakers Dr Apt 329 Olympia Fields IL 60461-1063 Ph: (773) 263-8855 |
NPI Number | 1386041796 |
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Provider Enumeration Date | 12/01/2014 |
Last Update Date | 11/15/2020 |
Certification Date | 11/15/2020 |
Identifier | Type | State | Issuer |
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1386041796 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | 071001927 (Illinois) | Primary |
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