Greater Chicago Art Therapy, Llc | |
1125 Ferdinand Ave Forest Park IL 60130-2205 | |
(773) 484-7135 | |
Not Available |
Full Name | Greater Chicago Art Therapy, Llc |
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Speciality | Counselor |
Location | 1125 Ferdinand Ave, Forest Park, Illinois |
Authorized Official Name and Position | Clare Elizabeth Mccarthy (OWNER/PROVIDER) |
Authorized Official Contact | 7734847135 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Greater Chicago Art Therapy, Llc 1125 Ferdinand Ave Forest Park IL 60130-2205 Ph: (773) 484-7135 | Greater Chicago Art Therapy, Llc 1125 Ferdinand Ave Forest Park IL 60130-2205 Ph: (773) 484-7135 |
NPI Number | 1023611985 |
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Provider Enumeration Date | 11/20/2020 |
Last Update Date | 11/20/2020 |
Certification Date | 11/20/2020 |
Identifier | Type | State | Issuer |
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1023611985 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
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