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Organization
BEHAVIOR AND MOOD CLINIC
Active
Organization
BEHAVIOR AND MOOD CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL W. BISHOP LCPC (PRESIDENT)
(773) 750-9773
Entity
Organization
Contact information
Practice address
1116 N KEDZIE AVE, SUITE 524, CHICAGO, IL 60651-4152
(773) 750-9773
Mailing address
1116 N KEDZIE AVE, SUITE 524, CHICAGO, IL 60651-4152
(773) 750-9773
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
Other
Enumeration date
12/15/2006
Last updated
08/22/2020
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