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Dr. Leah B. Samler, LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) in Chicago, IL. Organization (NPI-2).

NPI number1164076204
StatusActive
Last updated in NPPESJul 26, 2019

Details

NPI
1164076204
Entity type
Organization (NPI-2)
Legal business name
Dr. Leah B. Samler, LLC
Organization subpart
No
Enumeration date
Jul 26, 2019
Last updated
Jul 26, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

53 W Jackson Blvd Ste 635
Chicago, IL 60604-3455

Phone 773-482-1498

Mailing address

2147 N Humboldt Blvd Apt 1
Chicago, IL 60647-1392

Phone 773-297-5561

Authorized official

Leah B Samler
Therapist/Counselor
7732975561

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