Organization
CHICAGO NORTHSHORE PSYCHOLOGISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHERINE A KIEFT PSYD (SECRETARY)
(773) 259-7732
Entity
Organization
Contact information
Practice address
4905 OLD ORCHARD CTR, SUITE 607, SKOKIE, IL 60077-1458
(773) 259-7732
Mailing address
4905 OLD ORCHARD CTR, SUITE 607, SKOKIE, IL 60077-1458
(773) 259-7732
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006758
IL
103TC2200X
Clinical Child & Adolescent Psychologist
071007068
IL
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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