| The Chicago Integrative Center For Psychiatry Llc | |
|
900 North Shore Dr Suite 120 Lake Bluff IL 60044-2243 | |
| (847) 615-1698 | |
| (847) 615-1697 |
| Full Name | The Chicago Integrative Center For Psychiatry Llc |
|---|---|
| Speciality | Psychologist - Prescribing (medical) |
| Location | 900 North Shore Dr, Lake Bluff, Illinois |
| Authorized Official Name and Position | Erin Bright (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 8477701241 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Chicago Integrative Center For Psychiatry Llc 900 North Shore Dr Suite 120 Lake Bluff IL 60044-2243 Ph: (847) 615-1698 | The Chicago Integrative Center For Psychiatry Llc 900 North Shore Dr Suite 120 Lake Bluff IL 60044-2243 Ph: (847) 615-1698 |
| NPI Number | 1831511690 |
|---|---|
| Provider Enumeration Date | 01/14/2014 |
| Last Update Date | 02/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831511690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | 36117225 (Illinois) | Primary |
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