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Organization

THE THERAPLAY INSTITUTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ZAYA A GILLOGLY LCSW (CLINIC MANAGER)
(224) 850-3069
Entity
Organization

Contact information

Practice address
1224 W BELMONT AVE FL 1, CHICAGO, IL 60657-3207
(847) 256-7334
(847) 256-7337
Mailing address
1224 W BELMONT AVE FL 1, CHICAGO, IL 60657-3207
(847) 256-7334
(847) 256-7337

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1639498504
NPI#
IL
Enumeration date
05/18/2010
Last updated
03/29/2023
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