Organization · NPI-2
A Balanced Outlook Psychological Services LLC
Community/Behavioral Health · Chicago, IL
NPI number1326308750
StatusActive
Last updated in NPPESMay 18, 2012
Details
- NPI
- 1326308750
- Entity type
- Organization (NPI-2)
- Legal business name
- A Balanced Outlook Psychological Services LLC
- Organization subpart
- No
- Enumeration date
- May 18, 2012
- Last updated
- May 18, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 248.000583 | IL | Yes |
Practice location
6109 S Meade AveChicago, IL 60638-4331
Phone 312-420-3045
Mailing address
6109 S Meade AveChicago, IL 60638-4331
Phone 312-420-3045
Authorized official
William Dean Billows
Clinical Psychologist
3124203045
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