| South Side Christian Counseling Center Group | |
|
16537 Oak Park Ave. Tinley Park IL 60477 | |
| (708) 633-9003 | |
| (708) 633-1823 |
| Full Name | South Side Christian Counseling Center Group |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 16537 Oak Park Ave., Tinley Park, Illinois |
| Authorized Official Name and Position | Jeffrey S Hauser (PRESIDENT) |
| Authorized Official Contact | 7128870399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Side Christian Counseling Center Group 408 Main St. Lohrville IA 51453 Ph: (712) 887-0399 | South Side Christian Counseling Center Group 16537 Oak Park Ave. Tinley Park IL 60477 Ph: (708) 633-9003 |
| NPI Number | 1679589220 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 06/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679589220 | NPI | - | NPPES |
| 1618179 | Other | IL | BLUE CROSS BLUE SHIELD |
| 7092108 | Other | IL | AETNA INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 180-003931 (Illinois) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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