Organization
UHS OF HARTGROVE, INC
Active
Other names
Oak Park Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (SR VP CFO)
(610) 768-3300
Entity
Organization
Contact information
Practice address
101 MADISON ST STE 200, OAK PARK, IL 60302-4210
(708) 859-8004
Mailing address
5730 W. ROOSEVELT RD., CHICAGO, IL 60644-1467
(773) 413-1700
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
2084N0600X
Clinical Neurophysiology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
283Q00000X
Psychiatric Hospital
0005454
IL
Other
Enumeration date
12/16/2008
Last updated
09/14/2018
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