| Southwest Counseling Center | |
|
10800 Central Ave Chicago Ridge IL 60415-2304 | |
| (708) 707-0172 | |
| Not Available |
| Full Name | Southwest Counseling Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10800 Central Ave, Chicago Ridge, Illinois |
| Authorized Official Name and Position | Donna Kilgallon (THERAPIST) |
| Authorized Official Contact | 7087070172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Counseling Center 10800 Central Ave Chicago Ridge IL 60415-2304 Ph: () - | Southwest Counseling Center 10800 Central Ave Chicago Ridge IL 60415-2304 Ph: (708) 707-0172 |
| NPI Number | 1508237736 |
|---|---|
| Provider Enumeration Date | 10/14/2015 |
| Last Update Date | 10/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508237736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 180008210 (Illinois) | Primary |
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