| Open Eyes Open Heart Psychotherapy Pllc | |
|
2555 W Catalpa Ave Apt 1c Chicago IL 60625-6708 | |
| (312) 529-0679 | |
| Not Available |
| Full Name | Open Eyes Open Heart Psychotherapy Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2555 W Catalpa Ave Apt 1c, Chicago, Illinois |
| Authorized Official Name and Position | Elizabeth Deitemyer (OWNER/LCSW) |
| Authorized Official Contact | 3125290679 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Eyes Open Heart Psychotherapy Pllc 2501 Chatham Rd Ste R Springfield IL 62704-4188 Ph: (312) 529-0679 | Open Eyes Open Heart Psychotherapy Pllc 2555 W Catalpa Ave Apt 1c Chicago IL 60625-6708 Ph: (312) 529-0679 |
| NPI Number | 1568202836 |
|---|---|
| Provider Enumeration Date | 05/25/2024 |
| Last Update Date | 05/25/2024 |
| Certification Date | 05/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568202836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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