Organization
OCD TREATMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN L GYOERKOE PSY.D. (MEMBER)
(773) 220-1995
Entity
Organization
Contact information
Practice address
1130 W CORNELIA AVE APT D, CHICAGO, IL 60657-1549
(773) 220-1995
Mailing address
1130 W CORNELIA AVE APT D, CHICAGO, IL 60657-1549
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.006130
IL
Other
Enumeration date
01/29/2009
Last updated
01/29/2009
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