Organization
JEFFREY A. SEIDEN, PSY.D., LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY A SEIDEN PSY.D. (PRESIDENT)
(312) 880-0228
Entity
Organization
Contact information
Practice address
122 S MICHIGAN AVE, SUITE 1305, CHICAGO, IL 60603-6191
(312) 880-0228
Mailing address
122 S MICHIGAN AVE, SUITE 1305, CHICAGO, IL 60603-6191
(312) 880-0228
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
71006154
IL
Other
Enumeration date
04/18/2007
Last updated
08/22/2020
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