Organization
NORTHSIDE PSYCHOLOGY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH CARL (OWNER)
(773) 217-8599
Entity
Organization
Contact information
Practice address
4609 N WOLCOTT AVE, CHICAGO, IL 60640-4303
(773) 217-8599
Mailing address
4609 N WOLCOTT AVE, CHICAGO, IL 60640-4303
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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