Organization
ASSOCIATED BEHAVIORAL REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED T WALTZER LCSW (OWNER)
(773) 777-7413
Entity
Organization
Contact information
Practice address
4835 W IRVING PARK RD, CHICAGO, IL 60641-2719
(773) 777-7413
(773) 777-7416
Mailing address
4835 W IRVING PARK RD, CHICAGO, IL 60641-2719
(773) 777-7413
(773) 777-7416
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Enumeration date
04/06/2007
Last updated
08/22/2020
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