Introspective Psychological Services, Llc | |
1502 W Chicago Ave # 1 Chicago IL 60642-5236 | |
(312) 625-9051 | |
Not Available |
Full Name | Introspective Psychological Services, Llc |
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Speciality | Psychologist - Clinical |
Location | 1502 W Chicago Ave # 1, Chicago, Illinois |
Authorized Official Name and Position | Rielle Johnson (OWNER) |
Authorized Official Contact | 3126259051 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Introspective Psychological Services, Llc 2225 W Warren Blvd Apt 3 Chicago IL 60612-2472 Ph: () - | Introspective Psychological Services, Llc 1502 W Chicago Ave # 1 Chicago IL 60642-5236 Ph: (312) 625-9051 |
NPI Number | 1164039822 |
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Provider Enumeration Date | 09/28/2020 |
Last Update Date | 09/28/2020 |
Certification Date | 09/28/2020 |
Identifier | Type | State | Issuer |
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1164039822 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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