ALZA GREAT LAKES PSYCHOTHERAPY PROFESSIONAL LLC

CHICAGO, IL
NPI1720812860
Entity TypeOrganization
Authorized ContactENA ISIS MILLLWARD
Lcsw
773-707-6093
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2024-08-30
Last Update Date2025-02-12
Business Address
ALZA GREAT LAKES PSYCHOTHERAPY PROFESSIONAL LLC
1719 N RUTHERFORD AVE
CHICAGO, IL 60707-3942
Phone number: 708-824-7533
Mailing Address
ALZA GREAT LAKES PSYCHOTHERAPY PROFESSIONAL LLC
7061 NORTH AVE # 292
OAK PARK, IL 60302-1015
Phone number: 708-824-7533
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