Chicago Psychological Services, INC.
Clinic/Center, Adult Mental Health in Olympia Fields, IL. Organization (NPI-2).
NPI number1386041796
StatusActive
Last updated in NPPESNov 15, 2020
Details
- NPI
- 1386041796
- Entity type
- Organization (NPI-2)
- Legal business name
- Chicago Psychological Services, INC.
- Organization subpart
- No
- Enumeration date
- Dec 1, 2014
- Certification date
- Nov 15, 2020
- Last updated
- Nov 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | 071001927 | IL | Yes |
Practice location
3633 Breakers Dr Apt 329Olympia Fields, IL 60461-1063
Phone 773-263-8855
Mailing address
3633 Breakers Dr Apt 329Olympia Fields, IL 60461-1063
Phone 773-263-8855
Authorized official
John B Houck
President
7732638855
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