Organization
CHICAGO INTEGRATIVE CENTER FOR PSYCHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN BRIGHT (COO)
(847) 615-1698
Entity
Organization
Contact information
Practice address
900 NORTH SHORE DR STE 120, LAKE BLUFF, IL 60044-2225
(847) 615-1698
(847) 615-1697
Mailing address
900 NORTH SHORE DR STE 120, LAKE BLUFF, IL 60044-2225
(847) 615-1698
(847) 615-1697
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083632384
NPI
IL
Enumeration date
12/01/2017
Last updated
11/15/2021
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