Chicago Therapeutic Services | |
2715 N Central Ave Chicago IL 60639-1351 | |
(773) 360-1389 | |
(773) 687-9412 |
Full Name | Chicago Therapeutic Services |
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Speciality | Clinic/Center |
Location | 2715 N Central Ave, Chicago, Illinois |
Authorized Official Name and Position | Clarence Sutton (CEO) |
Authorized Official Contact | 7048641477 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Chicago Therapeutic Services 1528 Union Rd Gastonia NC 28054-2200 Ph: (704) 864-1477 | Chicago Therapeutic Services 2715 N Central Ave Chicago IL 60639-1351 Ph: (773) 360-1389 |
NPI Number | 1992256218 |
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Provider Enumeration Date | 10/21/2016 |
Last Update Date | 10/15/2024 |
Certification Date | 10/15/2024 |
Medicare PECOS PAC ID | 1052658861 |
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Medicare Enrollment ID | O20200701002463 |
Identifier | Type | State | Issuer |
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1992256218 | NPI | - | NPPES |
Provider Name | Heather Watson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285262287 PECOS PAC ID: 4789007196 Enrollment ID: I20200701002882 |
Philip K Mccullough Md Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Huron St, Suite 11-100, Chicago, IL 60611 Phone: 312-695-3680 Fax: 312-926-3709 | |
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