institution
Private Practice
Adult Mental Health Clinic/Center in Chicago, Illinois
NPI 1811374309

Private Practice is an Adult Mental Health Clinic/Center based in Chicago, IL and is specialized in Adult Mental Health. Private Practice practices in Chicago, IL. The NPI Number for Private Practice is 1811374309 and holds a License No. 149015655 (Illinois).

The current practice location address for Private Practice is 30 N Michigan Ave, Chicago, IL and can be reached out via phone at 786-269-6864.

Location: 30 N Michigan Ave, Chicago, IL, 60640-2850
institution
Provider Profile Details
NPI Number
1811374309
Provider Name
Private Practice
Credential
Provider Entity Type
Organization
Address
30 N Michigan Ave, Chicago, IL, 60640-2850
Phone Number
786-269-6864
Fax Number
Provider Enumeration Date
05/04/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
30 N Michigan Ave
City
State
Zip
60602-3402
Phone Number
786-269-6864
Fax Number
person
Provider Business Mailing Address Details
Address
30 N Michigan Ave
City
State
Zip
60602-3402
Phone Number
786-269-6864
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
149015655 (Illinois)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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