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Organization
MODERN THERAPY ALLIANCE, LLC
Active
Organization
MODERN THERAPY ALLIANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK GILES LCSW (OWNER THERAPIST)
(312) 270-7743
Entity
Organization
Contact information
Practice address
2966 N OAKLEY AVE, CHICAGO, IL 60618-8010
(312) 508-8748
Mailing address
2966 N OAKLEY AVE, CHICAGO, IL 60618-8010
(312) 508-8748
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891438925
ERIK GILES
IL
Enumeration date
02/06/2025
Last updated
06/13/2025
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