| Chronic Illness Psychotherapy Llc | |
|
2530 Crawford Ave Ste 116 Evanston IL 60201-4954 | |
| (847) 497-8374 | |
| Not Available |
| Full Name | Chronic Illness Psychotherapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2530 Crawford Ave Ste 116, Evanston, Illinois |
| Authorized Official Name and Position | Stephanie Kristine Brenner (MANAGING PROVIDER) |
| Authorized Official Contact | 8474978374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chronic Illness Psychotherapy Llc 2530 Crawford Ave Ste 116 Evanston IL 60201-4954 Ph: (847) 497-8374 | Chronic Illness Psychotherapy Llc 2530 Crawford Ave Ste 116 Evanston IL 60201-4954 Ph: (847) 497-8374 |
| NPI Number | 1023507019 |
|---|---|
| Provider Enumeration Date | 05/04/2018 |
| Last Update Date | 05/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023507019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149015344 (Illinois) | Primary |
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