Organization
CHICAGO PSYCH THERAPY GROUP, INC.
Active
Other names
Gulf Coast Psych Therapy Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY DORNAK PSYD (OWNER)
(312) 781-2850
Entity
Organization
Contact information
Practice address
1603 ORRINGTON AVE, EVANSTON, IL 60201-3841
(312) 781-2850
(847) 972-6445
Mailing address
8941 MARMORA AVE, MORTON GROVE, IL 60053-2448
(312) 781-2850
(847) 972-6445
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
071009088
IL
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
03/20/2017
Last updated
01/27/2026
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