| Redefine Performance | |
|
924 W Dakin Street Chicago IL 60613 | |
| (773) 796-7072 | |
| Not Available |
| Full Name | Redefine Performance |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 924 W Dakin Street, Chicago, Illinois |
| Authorized Official Name and Position | Sarah Forsythe (CEO) |
| Authorized Official Contact | 7379670727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redefine Performance 924 W Dakin St Chicago IL 60613-3093 Ph: () - | Redefine Performance 924 W Dakin Street Chicago IL 60613 Ph: (773) 796-7072 |
| NPI Number | 1467166009 |
|---|---|
| Provider Enumeration Date | 01/09/2023 |
| Last Update Date | 01/16/2023 |
| Certification Date | 01/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467166009 | NPI | - | NPPES |
| 180.013133 | Other | IL | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 103TE1100X | Psychologist - Exercise & Sports | (* (Not Available)) | Secondary |
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