| Chicago Telehealth, Inc. | |
|
3633 Breakers Dr Apt 329 Olympia Flds IL 60461-1063 | |
| (773) 263-8855 | |
| Not Available |
| Full Name | Chicago Telehealth, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 3633 Breakers Dr Apt 329, Olympia Flds, Illinois |
| Authorized Official Name and Position | John B Houck (OWNER/PROVIDER) |
| Authorized Official Contact | 7732638855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chicago Telehealth, Inc. 3633 Breakers Dr Apt 329 Olympia Flds IL 60461-1063 Ph: (773) 263-8855 | Chicago Telehealth, Inc. 3633 Breakers Dr Apt 329 Olympia Flds IL 60461-1063 Ph: (773) 263-8855 |
| NPI Number | 1174131080 |
|---|---|
| Provider Enumeration Date | 07/16/2020 |
| Last Update Date | 07/16/2020 |
| Certification Date | 07/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174131080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |