Organization
CHANGE RESOURCES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD W ACKLEY PHD (CLINICAL PSYCHOLOGIST)
(708) 203-6625
Entity
Organization
Contact information
Practice address
1100 LAKE ST, OAK PARK, IL 60301-1015
(708) 203-6625
Mailing address
1100 LAKE ST, OAK PARK, IL 60301-1015
(708) 203-6625
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
02/28/2007
Last updated
08/22/2020
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