Associates In Clinical Psychology & Substance Abuse Pc
LBN: Associates In Clinical Psychology & Substance Abuse Pc
Associates In Clinical Psychology & Substance Abuse Pc is an health care organization with primary practice located at 2024 Hickory Rd Ste 103 , Homewood IL 60430-2158. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
Associates In Clinical Psychology & Substance Abuse Pc can be contacted via phone (708) 957-3662, or through Farrell, John L via phone (708) 957-3695.
Contact Information
Primary practice address
2024 Hickory Rd Ste 103
Homewood IL 60430-2158
Phone: (708) 957-3662
Fax: (708) 957-3695
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X |
Profile Details
| NPI number | 1194827238 |
|---|---|
| LBN Legal business name | Associates In Clinical Psychology & Substance Abuse Pc |
| DBA Doing business as | |
| Authorized official | Farrell, John L PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 1st, 2006 |
| Last updated | May 19th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194827238 | NPPES |
| Illinois | Other | 1673080 | BCBS GROUP PROVIDER NUMBE |
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