CHRYSALIS COUNSELING GROUP NPI 1407149693

NPI Information

NPI: 1407149693
Provider Name: CHRYSALIS COUNSELING GROUP
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
3257 N SHEFFIELD AVE
SUITE 108
CHICAGO, IL
ZIP 60657
Phone: (773) 570-0088
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CHRYSALIS COUNSELING GROUP is a professional counselor in Chicago, IL. CHRYSALIS COUNSELING GROUP NPI is 1407149693. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3257 N SHEFFIELD AVE
SUITE 108
CHICAGO, IL
ZIP 60657-270
Phone: (773) 570-0088
Fax: (773) 404-5095

The provider's authorized official is Charles Burt .
The authorized official title is Principle and has the following contact phone number (773) 570-0088.

The enumeration date for this NPI number is 5/20/2011 and was last updated on 5/20/2011.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	180.007553	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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