Organization
THE CHICAGO INTEGRATIVE CENTER FOR PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERIN BRIGHT (OFFICE ADMINISTRATOR)
(847) 770-1241
Entity
Organization
Contact information
Practice address
900 NORTH SHORE DR, SUITE 120, LAKE BLUFF, IL 60044-2243
(847) 615-1698
(847) 615-1697
Mailing address
900 NORTH SHORE DR, SUITE 120, LAKE BLUFF, IL 60044-2243
(847) 615-1698
(847) 615-1697
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
36117225
IL
Other
Enumeration date
01/14/2014
Last updated
02/26/2014
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