Organization
PROFESSIONAL ACCOUNTS RECEIVABLE MANAGEMENT TEAM
Active
Other names
Cognitive Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
SABRINA M MOORE (DIRECTOR)
(708) 647-7550
Entity
Organization
Contact information
Practice address
1820 RIDGE RD, SUITE 104, HOMEWOOD, IL 60430-1760
(708) 647-7550
(708) 647-7564
Mailing address
1820 RIDGE RD, SUITE 104, HOMEWOOD, IL 60430-1760
(708) 647-7550
(708) 647-7564
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09932047
BC
IL
Enumeration date
11/28/2006
Last updated
03/17/2008
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