Organization
MIND WELL PSYCHOLOGICAL SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI Q. CHAIB PSY.D. (OWNER)
(708) 466-6443
Entity
Organization
Contact information
Practice address
9290 FOREST EDGE DR, BURR RIDGE, IL 60527-6680
(708) 466-6443
Mailing address
648 AVENUE B, REDONDO BEACH, CA 90277-4829
(708) 466-6443
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.007814
IL
Other
Enumeration date
07/11/2010
Last updated
08/07/2013
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