Organization
ASCEND CHC, LCC
Active
Parent organization
ASCEND CHC, LCC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASCEND CHC, LCC
Authorized official
DR. JENNY CONVISER PSY.D (OWNER, CEO)
(312) 283-2650
Entity
Organization
Contact information
Practice address
700 S GREGORY ST, SUITE A, URBANA, IL 61801-3745
(217) 531-4796
(217) 607-5432
Mailing address
737 N MICHIGAN AVE, SUITE 1625, CHICAGO, IL 60611-2615
(312) 283-2650
(312) 888-9937
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164004906
IL
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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