| Heavenly Interventions Inc | |
|
7421 S South Chicago Ave Chicago IL 60619-2035 | |
| (773) 782-6173 | |
| Not Available |
| Full Name | Heavenly Interventions Inc |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 7421 S South Chicago Ave, Chicago, Illinois |
| Authorized Official Name and Position | Debra Simone Gaines (OFFICE MANAGER) |
| Authorized Official Contact | 7737826173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heavenly Interventions Inc 7421 S South Chicago Ave Chicago IL 60619-2035 Ph: (773) 782-6173 | Heavenly Interventions Inc 7421 S South Chicago Ave Chicago IL 60619-2035 Ph: (773) 782-6173 |
| NPI Number | 1558497156 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 10/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558497156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | 036100047 (Illinois) | Primary |
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