Organization
JEANETTE SIMON, PSY.D., C.A.D.C., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANETTE ZWICKY SIMON PSY.D., C.A.D.C. (CEO & FOUNDER)
(708) 628-7578
Entity
Organization
Contact information
Practice address
1100 LAKE ST STE 210B, OAK PARK, IL 60301-1015
(708) 628-7578
Mailing address
1100 LAKE ST STE 201B, OAK PARK, IL 60301-1028
(708) 628-7578
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
4778
IL
103TC0700X
Clinical Psychologist
Primary
071005823
IL
Other
Enumeration date
11/01/2017
Last updated
11/08/2017
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