| Chicago Northshore Psychologists, Inc. | |
|
4905 Old Orchard Ctr Suite 607 Skokie IL 60077-1458 | |
| (773) 259-7732 | |
| Not Available |
| Full Name | Chicago Northshore Psychologists, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4905 Old Orchard Ctr, Skokie, Illinois |
| Authorized Official Name and Position | Catherine A Kieft (SECRETARY) |
| Authorized Official Contact | 7732597732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chicago Northshore Psychologists, Inc. 4905 Old Orchard Ctr Suite 607 Skokie IL 60077-1458 Ph: (773) 259-7732 | Chicago Northshore Psychologists, Inc. 4905 Old Orchard Ctr Suite 607 Skokie IL 60077-1458 Ph: (773) 259-7732 |
| NPI Number | 1245499979 |
|---|---|
| Provider Enumeration Date | 06/06/2008 |
| Last Update Date | 06/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245499979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071006758 (Illinois) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 071007068 (Illinois) | Secondary |
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