Integrated Psychotherapy Center, Llc

NPI 1174944698 - Counselor - 101YP2500X

NPI Details
NPI 1174944698
Enumeration Date 12/31/2013
Last Updated 12/31/2013
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MARK J MARK
Position CEO/DIRECTOR OF CLINICAL SERVICES
Phone (773) 502-8252
Fax (773) 564-4175
Practice Location
3139 N LINCOLN AVE
SUITE 204
CHICAGO IL, 60657-3114, US
Phone (773) 502-8252
Fax (773) 564-4175
Business Location
PO BOX 190
EVANSTON IL, 60204-0190, US
Phone (773) 502-8252
Fax (773) 564-4175
Toxanomy
Taxonomy Code 101YP2500X
License State
License Number
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According to our database, Integrated Psychotherapy Center, Llc NPI is 1174944698, taxonomy code is 101YP2500X Integrated Psychotherapy Center, Llc physically located at 3139 N Lincoln Ave, Chicago IL, 60657-3114. NPI Number 1033115704 has the healthcare provider type.

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1174944698 NPI number is provided on an as is basis without warranty of any kind. 1174944698 is maintained by the National Plan & Provider Enumeration System. The contents of Integrated Psychotherapy Center, Llc are for informational purposes only.