INTEGRATIVE PSYCHOLOGICAL HEALTHCARE CENTER NPI 1063789220

NPI Information

INTEGRATIVE PSYCHOLOGICAL HEALTHCARE CENTER is a health service psychologist in Chicago, IL. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). INTEGRATIVE PSYCHOLOGICAL HEALTHCARE CENTER NPI is 1063789220. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3100 N SHERIDAN RD
APT. 9E
CHICAGO, IL
ZIP 60657-954
Phone: (877) 571-5579

The provider's authorized official is John Christian Hardie .
The authorized official title is Clinical Director and has the following contact phone number (312) 810-5646.

The enumeration date for this NPI number is 11/16/2011 and was last updated on 11/16/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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