Organization
FREELIFE BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IAN BONNER PSYD (CEO)
(908) 229-3578
Entity
Organization
Contact information
Practice address
5315 N CLARK ST # 215, CHICAGO, IL 60640-2290
(908) 229-3578
Mailing address
5315 N CLARK ST # 215, CHICAGO, IL 60640-2290
(908) 229-3578
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
08/21/2020
Last updated
09/25/2025
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