Organization
CHICAGO PSYCHOLOGICAL HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS ALCOCK (THERAPIST)
(773) 469-6675
Entity
Organization
Contact information
Practice address
2518 N LINCOLN AVE, CHICAGO, IL 60614-2782
(773) 469-6675
Mailing address
2518 N LINCOLN AVE, CHICAGO, IL 60614-2782
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
180008478
IL
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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