Organization
CBT CLINIC OF CHICAGO, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELISE D MASSIE PH.D. (OWNER)
(312) 228-4200
Entity
Organization
Contact information
Practice address
180 N STETSON AVE, SUITE 3150, CHICAGO, IL 60601-6710
(312) 228-4200
(312) 540-1231
Mailing address
180 N STETSON AVE, SUITE 3150, CHICAGO, IL 60601-6710
(312) 228-4200
(312) 540-1231
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
071007344
IL
103TC0700X
Clinical Psychologist
071007344
IL
Other
Enumeration date
03/26/2010
Last updated
03/26/2010
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