Organization
SPRINGSOURCE PSYCHOLOGICAL CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN FOTI MCCLANAHAN (FOUNDER)
(312) 337-6064
Entity
Organization
Contact information
Practice address
53 W JACKSON BLVD STE 520, CHICAGO, IL 60604-3433
(847) 274-1222
Mailing address
53 W JACKSON BLVD STE 520, CHICAGO, IL 60604-3433
(847) 274-1222
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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