Organization
BE MINDFUL CHICAGO COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE WYCHOCKI LCSW (OWNER)
(773) 234-4042
Entity
Organization
Contact information
Practice address
1820 W WEBSTER AVE STE 400, CHICAGO, IL 60614-4892
(773) 234-4042
Mailing address
457 W DEMING PL, CHICAGO, IL 60614-1718
(415) 310-1235
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013644707
NPI
IL
01
—
1205595907
NPI
IL
Enumeration date
01/30/2023
Last updated
02/07/2023
Update your record
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