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Organization
TRANSFORMEDGE, P.C.
Active
Organization
TRANSFORMEDGE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH CHEN (PRESIDENT)
(312) 835-7988
Entity
Organization
Contact information
Practice address
53 W JACKSON BLVD STE 824, CHICAGO, IL 60604-3487
(312) 835-7988
Mailing address
PO BOX 2193, NORTHBROOK, IL 60065-2193
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
02/17/2020
Last updated
04/13/2020
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