Organization
HEADWAY COUNSELING, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL KAPLAN PH.D. (PRESIDENT)
(773) 301-8134
Entity
Organization
Contact information
Practice address
30 N MICHIGAN AVE, 900, CHICAGO, IL 60602-3402
(773) 301-8134
Mailing address
30 N MICHIGAN AVE, 900, CHICAGO, IL 60602-3402
(773) 301-8134
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006177
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013929538
INDIVIDUAL PRACTIONER NPI
IL
Enumeration date
10/08/2012
Last updated
10/08/2012
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