| Integrative Psychological Services Of Chicago, Inc. | |
|
2153 W Belmont Ave Unit 1 Chicago IL 60618-7879 | |
| (773) 573-9117 | |
| Not Available |
| Full Name | Integrative Psychological Services Of Chicago, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 2153 W Belmont Ave, Chicago, Illinois |
| Authorized Official Name and Position | David Kohler (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7735739117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Psychological Services Of Chicago, Inc. 2153 W Belmont Ave Unit 1 Chicago IL 60618-7879 Ph: () - | Integrative Psychological Services Of Chicago, Inc. 2153 W Belmont Ave Unit 1 Chicago IL 60618-7879 Ph: (773) 573-9117 |
| NPI Number | 1457773418 |
|---|---|
| Provider Enumeration Date | 01/10/2014 |
| Last Update Date | 06/15/2017 |
| Medicare PECOS PAC ID | 7911276373 |
|---|---|
| Medicare Enrollment ID | O20170629000046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457773418 | NPI | - | NPPES |
| Provider Name | David A Kohler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861823064 PECOS PAC ID: 5092096578 Enrollment ID: I20170706000386 |
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