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Organization
THE THERAPLAY INSTITUTE
Active
Organization
THE THERAPLAY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZAYA A GILLOGLY LCSW (CLINIC MANAGER)
(224) 850-3069
Entity
Organization
Contact information
Practice address
1224 W BELMONT AVE FL 1, CHICAGO, IL 60657-3207
(847) 256-7334
(847) 256-7337
Mailing address
1224 W BELMONT AVE FL 1, CHICAGO, IL 60657-3207
(847) 256-7334
(847) 256-7337
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639498504
NPI#
IL
Enumeration date
05/18/2010
Last updated
03/29/2023
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