| Intercultural Behavioral Health & Consultation Llc | |
|
155 N Michigan Ave Ste 569 Chicago IL 60601-7799 | |
| (312) 545-8480 | |
| Not Available |
| Full Name | Intercultural Behavioral Health & Consultation Llc |
|---|---|
| Speciality | Psychologist |
| Location | 155 N Michigan Ave Ste 569, Chicago, Illinois |
| Authorized Official Name and Position | Ayako Konno (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 3125458480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intercultural Behavioral Health & Consultation Llc 155 N Michigan Ave Ste 569 Chicago IL 60601-7799 Ph: (312) 545-8480 | Intercultural Behavioral Health & Consultation Llc 155 N Michigan Ave Ste 569 Chicago IL 60601-7799 Ph: (312) 545-8480 |
| NPI Number | 1366013054 |
|---|---|
| Provider Enumeration Date | 07/05/2021 |
| Last Update Date | 07/05/2021 |
| Certification Date | 06/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366013054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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