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Organization
PSYCHOTHERAPY ASSOCIATES OF CHICAGO
Active
Organization
PSYCHOTHERAPY ASSOCIATES OF CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JON VERNON LCSW (OWNER)
(773) 414-4577
Entity
Organization
Contact information
Practice address
1954 W IRVING PARK RD, CHICAGO, IL 60613-2408
(773) 414-4577
(773) 313-3533
Mailing address
1954 W IRVING PARK RD, CHICAGO, IL 60613-2408
(773) 414-4577
(773) 313-3533
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149009584
IL
Other
Enumeration date
01/25/2007
Last updated
03/17/2018
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