# CENTER FOR MODERN RELATIONSHIPS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669917324
- **Authorized official:** MICHELLE HERZOG LMFT (OWNER/CLINICAL DIRECTOR)
- **Authorized official phone:** (708) 557-3155

## Contact information

- **Practice address:** 1300 W BELMONT AVE, SUITE 303, CHICAGO, IL 60657-3200
- **Practice address phone:** (708) 557-3155
- **Mailing address:** 1300 W BELMONT AVE, SUITE 303, CHICAGO, IL 60657-3200
- **Mailing address phone:** (708) 557-3155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 166.001024 | IL | Yes |

## Other

- **Enumeration date:** 01/04/2017
- **Last updated:** 04/30/2024