Organization
ASSOCIATED BEHAVIORAL CONSULTANTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED T WALTZER LCSW (PRESIDENT)
(773) 777-7413
Entity
Organization
Contact information
Practice address
4835 W IRVING PARK RD, CHICAGO, IL 60641-2719
(773) 777-7413
Mailing address
4835 W IRVING PARK RD, CHICAGO, IL 60641-2719
(773) 777-7413
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
149001505
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36332274-60712-01
—
IL
Enumeration date
05/19/2006
Last updated
10/20/2008
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