Organization
INNERSHINE ASSOCIATES, LLC
Active
Other names
InnerShine Associates, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOAN D MCCOHNELL PH.D (CEO/CLINICAL THERAPIST)
(312) 218-8568
Entity
Organization
Contact information
Practice address
723 W 111TH ST, CHICAGO, IL 60628-3902
(312) 218-8568
(773) 643-8649
Mailing address
7131 S. CONSTANCE AVE., CHICAGO, IL 60649-2326
(312) 218-8568
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
149.018437
IL
Other
Enumeration date
01/03/2017
Last updated
01/28/2019
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