Organization
ILLINOIS BEHAVIORAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE KELLOGG WEAVER (CEO)
(708) 473-6420
Entity
Organization
Contact information
Practice address
276 E 16TH STREET, CHICAGO HEIGHTS, IL 60471
(708) 473-6420
Mailing address
276 EAST 16TH ST, CHICAGO HEIGHTS, IL 60411
(708) 473-6420
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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