Organization
CENTER FOR PSYCHOLOGICAL SERVICES - OAK LAWN LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTORIA KOWALSKY WILLIAMS PSYD (OWNER AND HEAD OF THE PRACTICE)
(708) 424-0001
Entity
Organization
Contact information
Practice address
10735 S CICERO AVE, SUITE 208, OAK LAWN, IL 60453-5400
(708) 424-0001
(708) 424-1394
Mailing address
10735 S CICERO AVE, SUITE 208, OAK LAWN, IL 60453-5400
(708) 424-0001
(708) 424-1394
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
071 003598
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623005
BCBS PROVIDER NUMBER
IL
Enumeration date
03/23/2006
Last updated
04/17/2013
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