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Organization

DELVE PSYCHOTHERAPY OF CHICAGO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ADAM FOMINAYA PHD, LCP (EXECUTIVE AND CLINICAL DIRECTOR)
(773) 234-1463
Entity
Organization

Contact information

Practice address
1340 W ROSEDALE AVE # 1, CHICAGO, IL 60660-3438
(773) 234-1463
Mailing address
6301 N SHERIDAN RD APT 23K, CHICAGO, IL 60660-5701
(773) 234-1463

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
12/14/2020
Last updated
05/02/2024
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