Organization
OAK FOREST PSYCHOLOGICAL SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN NEKOLNY-SMITH (CLINICAL COORDINATOR)
(708) 215-8400
Entity
Organization
Contact information
Practice address
6502 JOLIET RD, COUNTRYSIDE, IL 60525-4682
(708) 215-8400
(708) 215-8410
Mailing address
6502 JOLIET RD, FLOOR 2, COUNTRYSIDE, IL 60525-4613
(708) 215-8400
(708) 215-8410
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
05/23/2006
Last updated
02/17/2025
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