HEALTH PROVIDERS

GLENWOOD, IL
NPI1891944484
Entity TypeOrganization
Authorized ContactKEITH O ROPER
Owner
312-421-3434
Organization Subpart ?No
Primary Taxonomy102L00000X Psychoanalyst
(Licence: IL  036055359)
Enumeration Date2008-09-18
Last Update Date2008-09-18
Business Address
HEALTH PROVIDERS
19330 S COTTAGE GROVE AVE
GLENWOOD, IL 60425-1834
Phone number: 708-758-6200
Mailing Address
HEALTH PROVIDERS
1507 W POLK ST
CHICAGO, IL 60607-3120
Phone number: 312-421-3434