| Psychotherapy Center Inc | |
|
9730 S Western Ave Ste 838 Evergreen Park IL 60805-2814 | |
| (773) 590-2356 | |
| Not Available |
| Full Name | Psychotherapy Center Inc |
|---|---|
| Speciality | Psychologist |
| Location | 9730 S Western Ave Ste 838, Evergreen Park, Illinois |
| Authorized Official Name and Position | Aaron Donald Chatman (PRESIDENT/CEO) |
| Authorized Official Contact | 7735902356 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapy Center Inc 2724 W 86th St Chicago IL 60652-3934 Ph: (773) 590-2356 | Psychotherapy Center Inc 9730 S Western Ave Ste 838 Evergreen Park IL 60805-2814 Ph: (773) 590-2356 |
| NPI Number | 1326723453 |
|---|---|
| Provider Enumeration Date | 06/16/2023 |
| Last Update Date | 02/09/2024 |
| Certification Date | 01/23/2024 |
| Medicare PECOS PAC ID | 1658716204 |
|---|---|
| Medicare Enrollment ID | O20240305002274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326723453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Aaron Donald Chatman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831799436 PECOS PAC ID: 5092150649 Enrollment ID: I20240305002397 |
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