Organization
INTEGRATIVE PSYCHOLOGICAL HEALTHCARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CHRISTIAN HARDIE PHD (CLINICAL DIRECTOR)
(312) 810-5646
Entity
Organization
Contact information
Practice address
3100 N SHERIDAN RD, APT. 9E, CHICAGO, IL 60657-4954
(877) 571-5579
Mailing address
3100 N SHERIDAN RD, APT. 9E, CHICAGO, IL 60657-4954
(877) 571-5579
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
071007352
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376732255
NPI - JOHN C. HARDIE INDIVIDUAL PROVIDER
IL
Enumeration date
11/16/2011
Last updated
11/16/2011
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