Organization
CHICAGOLAND PROFESSIONAL THERAPY GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH HALL MSW, MBA (PRESIDENT OF OPERATIONS)
(314) 882-1126
Entity
Organization
Contact information
Practice address
2656 W MONTROSE AVE FL 2, CHICAGO, IL 60618-1559
(314) 882-1126
Mailing address
2656 W MONTROSE AVE FL 2, CHICAGO, IL 60618-1559
(314) 882-1126
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
12/09/2022
Last updated
04/24/2023
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