Comprehensive Obesity Recovery Effort Centers, Llc | |
205 N Michigan Ave Ste. 301 Chicago IL 60601-5927 | |
(312) 540-9955 | |
(312) 540-0944 |
Full Name | Comprehensive Obesity Recovery Effort Centers, Llc |
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Speciality | Psychologist - Cognitive & Behavioral |
Location | 205 N Michigan Ave, Chicago, Illinois |
Authorized Official Name and Position | Jenny Conviser (CO-DIRECTOR) |
Authorized Official Contact | 3125409955 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Comprehensive Obesity Recovery Effort Centers, Llc 205 N Michigan Ave Ste. 301 Chicago IL 60601-5927 Ph: (312) 540-9955 | Comprehensive Obesity Recovery Effort Centers, Llc 205 N Michigan Ave Ste. 301 Chicago IL 60601-5927 Ph: (312) 540-9955 |
NPI Number | 1235460189 |
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Provider Enumeration Date | 01/15/2010 |
Last Update Date | 01/15/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235460189 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TB0200X | Psychologist - Cognitive & Behavioral | 071004492 (Illinois) | Primary |
103TB0200X | Psychologist - Cognitive & Behavioral | 071005162 (Illinois) | Secondary |
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