| Chicago Psychological Services, Inc. | |
|
3633 Breakers Dr Apt 329 Olympia Fields IL 60461-1063 | |
| (773) 263-8855 | |
| Not Available |
| Full Name | Chicago Psychological Services, Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3633 Breakers Dr Apt 329, Olympia Fields, Illinois |
| Authorized Official Name and Position | John B Houck (PRESIDENT) |
| Authorized Official Contact | 7732638855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chicago Psychological Services, Inc. 3633 Breakers Dr Apt 329 Olympia Fields IL 60461-1063 Ph: (773) 263-8855 | Chicago Psychological Services, Inc. 3633 Breakers Dr Apt 329 Olympia Fields IL 60461-1063 Ph: (773) 263-8855 |
| NPI Number | 1386041796 |
|---|---|
| Provider Enumeration Date | 12/01/2014 |
| Last Update Date | 11/15/2020 |
| Certification Date | 11/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386041796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 071001927 (Illinois) | Primary |
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