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Organization
WINDY CITY THERAPEUTIC LLC
Active
Organization
WINDY CITY THERAPEUTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA M. FADRAGAS LCSW (OWNER)
(312) 547-1931
Entity
Organization
Contact information
Practice address
2201 LAKESIDE DR, BANNOCKBURN, IL 60015-1265
(773) 319-6265
Mailing address
2201 LAKESIDE DR STE 601, BANNOCKBURN, IL 60015-1265
(312) 547-1931
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
27727
IL
101YP2500X
Professional Counselor
180008877
IL
1041C0700X
Clinical Social Worker
Primary
149006023
IL
Other
Enumeration date
07/11/2014
Last updated
04/05/2023
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