Organization
PSYCHOLOGICAL RESOURCES, LIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN J. O'GRADY PH.D. (CO-OWNER)
(312) 984-0417
Entity
Organization
Contact information
Practice address
25 E WASHINGTON ST, SUITE 1201, CHICAGO, IL 60602-1708
(312) 984-0417
(312) 456-3036
Mailing address
25 E WASHINGTON ST, SUITE 1201, CHICAGO, IL 60602-1708
(312) 984-0417
(312) 456-3036
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01618270
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/12/2007
Last updated
03/28/2011
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