Organization
INTEGRATIVE PSYCHOLOGICAL SERVICES OF CHICAGO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID KOHLER PSY.D. (CLINICAL DIRECTOR)
(773) 573-9117
Entity
Organization
Contact information
Practice address
2153 W BELMONT AVE, UNIT 1, CHICAGO, IL 60618-7879
(773) 573-9117
Mailing address
2153 W BELMONT AVE, UNIT 1, CHICAGO, IL 60618-7879
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
071008692
IL
103TA0700X
Adult Development & Aging Psychologist
071008692
IL
103TB0200X
Cognitive & Behavioral Psychologist
071008692
IL
103TC0700X
Clinical Psychologist
Primary
071008692
IL
103TC2200X
Clinical Child & Adolescent Psychologist
071008692
IL
103TF0000X
Family Psychologist
071008692
IL
106H00000X
Marriage & Family Therapist
—
IL
Other
Enumeration date
01/10/2014
Last updated
06/15/2017
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