Organization
COCREATE PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOANN DAKOTA CIMO PHD (PRESIDENT)
(773) 539-9183
Entity
Organization
Contact information
Practice address
3850 N LAWNDALE AVE, STE 203, CHICAGO, IL 60618-4115
(773) 539-9183
(773) 509-0874
Mailing address
3850 N LAWNDALE AVE, STE 203, CHICAGO, IL 60618-4115
(773) 539-9183
(773) 509-0874
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-006748
IL
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
06/25/2006
Last updated
01/30/2026
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