| Chicago Mental Health Institute Llc | |
|
3330 Dundee Rd Northbrook IL 60062-2318 | |
| (847) 813-9079 | |
| (847) 813-6118 |
| Full Name | Chicago Mental Health Institute Llc |
|---|---|
| Speciality | Counselor |
| Location | 3330 Dundee Rd, Northbrook, Illinois |
| Authorized Official Name and Position | Oksoon Cho (OWNER) |
| Authorized Official Contact | 8478139079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chicago Mental Health Institute Llc 3330 Dundee Rd Northbrook IL 60062-2318 Ph: (847) 813-9079 | Chicago Mental Health Institute Llc 3330 Dundee Rd Northbrook IL 60062-2318 Ph: (847) 813-9079 |
| NPI Number | 1063070746 |
|---|---|
| Provider Enumeration Date | 05/29/2019 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Medicare PECOS PAC ID | 9931643202 |
|---|---|
| Medicare Enrollment ID | O20240627001174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063070746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Oksoon Cho |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285119792 PECOS PAC ID: 2466996731 Enrollment ID: I20240627001289 |
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