Organization
INTERTWINED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROCHELLE JOHNSON LCSW (OWNER)
(708) 499-2030
Entity
Organization
Contact information
Practice address
10540 S WESTERN AVE STE 103, CHICAGO, IL 60643-2541
(708) 499-2030
Mailing address
10540 S WESTERN AVE STE 103, CHICAGO, IL 60643-2541
(708) 499-2030
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
149011142
IL
Other
Enumeration date
07/12/2013
Last updated
03/17/2025
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