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Organization

CENTER FOR PERSONAL DEVELOPMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN M NAKISHER PSYD (OWNER)
(312) 755-7000
Entity
Organization

Contact information

Practice address
444 N MICHIGAN AVE, SUITE 1820, CHICAGO, IL 60611
(312) 755-7000
(312) 755-7001
Mailing address
444 N MICHIGAN AVE, SUITE 1820, CHICAGO, IL 60611
(312) 755-7000
(312) 755-7001

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071005565
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
21623432
BCBS
IL
Enumeration date
05/08/2006
Last updated
06/05/2014
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