Organization
INTEGRATIVE BEHAVIORAL AND COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE ISYANOV LCPC (OWNER)
(847) 673-8577
Entity
Organization
Contact information
Practice address
2021 MIDWEST RD STE 200, OAK BROOK, IL 60523-1370
(847) 673-8577
(847) 568-0411
Mailing address
8707 SKOKIE BLVD STE 207, SKOKIE, IL 60077-2272
(847) 673-8577
(847) 568-0411
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/15/2024
Last updated
06/05/2024
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