Organization
CHICAGO THERAPY AND ASSESSMENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACEY WILLARD PSYD (LICENSED CLINICAL PSYCHOLOGIST)
(312) 798-9078
Entity
Organization
Contact information
Practice address
150 S WACKER DR STE 2400, CHICAGO, IL 60606-4211
(312) 798-9078
Mailing address
150 S WACKER DR STE 2400, CHICAGO, IL 60606-4211
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
170.009205
IL
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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