Organization
CHICAGO INTEGRATED HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRIS NICHOLE WHITE LMT (OWNER)
(773) 234-7775
Entity
Organization
Contact information
Practice address
10605 S GLENROY AVE, CHICAGO, IL 60643-3637
(732) 347-7775
(773) 901-3764
Mailing address
10605 S GLENROY AVE, CHICAGO, IL 60643-3637
(773) 754-9242
(773) 901-3764
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
02/24/2020
Last updated
02/23/2024
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