Studio For Change | |
2835 N Sheffield Ave Ste 310 Chicago IL 60657-5084 | |
(773) 281-8130 | |
(773) 281-7150 |
Full Name | Studio For Change |
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Speciality | Psychologist - Clinical |
Location | 2835 N Sheffield Ave Ste 310, Chicago, Illinois |
Authorized Official Name and Position | Julia M Rahn (OWNER) |
Authorized Official Contact | 7732818130 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Studio For Change 2835 N Sheffield Ave Ste 310 Chicago IL 60657-5084 Ph: (773) 281-8130 | Studio For Change 2835 N Sheffield Ave Ste 310 Chicago IL 60657-5084 Ph: (773) 281-8130 |
NPI Number | 1114180148 |
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Provider Enumeration Date | 07/09/2008 |
Last Update Date | 06/11/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114180148 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 071-005837 (Illinois) | Primary |
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