Organization
MIDDLE PATH PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA PUNZO (PRESIDENT)
(708) 613-0344
Entity
Organization
Contact information
Practice address
1010 LAKE ST STE 614, OAK PARK, IL 60301-1136
(708) 613-0344
Mailing address
1010 LAKE ST STE 614, OAK PARK, IL 60301-1136
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
071.009047
IL
Other
Enumeration date
09/08/2017
Last updated
09/08/2017
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