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Organization
WILLOUGHBY CENTER FOR BEHAVIORAL HEALTH, LLC
Active
Organization
WILLOUGHBY CENTER FOR BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CINDI-MARIE WILLOUGHBY PSY. D. (CLINICAL PSYCHOLOGIST)
(773) 814-1445
Entity
Organization
Contact information
Practice address
1603 ORRINGTON AVE., STE. 600, EVANSTON, IL 60201
(224) 585-3312
(224) 585-3619
Mailing address
1603 ORRINGTON AVE STE 600, EVANSTON, IL 60201-3860
(224) 585-3312
(224) 585-3619
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.008303
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487929345
NPI
IL
05
—
558816518-001
—
IL
Enumeration date
10/19/2015
Last updated
04/15/2024
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