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Organization

ASSOCIATES IN CLINICAL PSYCHOLOGY & SUBSTANCE ABUSE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN L FARRELL PHD (PRESIDENT)
(708) 957-3695
Entity
Organization

Contact information

Practice address
2024 HICKORY RD STE 103, HOMEWOOD, IL 60430-2158
(708) 957-3662
(708) 957-3695
Mailing address
2024 HICKORY RD STE 103, HOMEWOOD, IL 60430-2158
(708) 957-3662
(708) 957-3695

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1673080
BCBS GROUP PROVIDER NUMBE
IL
Enumeration date
09/01/2006
Last updated
05/19/2020
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