Organization
GAIL REICH PSYCHOTHERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL REICH LCPC (OWNER)
(773) 451-5874
Entity
Organization
Contact information
Practice address
4305 N LINCOLN AVE STE I, CHICAGO, IL 60618-1807
(773) 451-5874
Mailing address
833 W BUENA AVE APT 806, CHICAGO, IL 60613-6606
(201) 919-2469
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
180.010240
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962740753
BCBS
IL
Enumeration date
07/25/2017
Last updated
07/25/2017
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