Dr Joseph Wallach Phd Llc

LBN: Dr Joseph Wallach Phd Llc
Dr Joseph Wallach Phd Llc is an health care organization with primary practice located at 4753 N Broadway St Suite 608, Chicago IL 60640-5266. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Dr Joseph Wallach Phd Llc can be contacted via phone (773) 852-2400, or through Wallach, Joseph via phone (773) 852-2400.

Contact Information

Primary practice address
4753 N Broadway St Suite 608 Chicago IL 60640-5266
Phone: (773) 852-2400
Fax: (847) 869-8116
Website:
Map and Directions
Authorized official contact:
Name: Wallach, Joseph PH.D.
Phone: (773) 852-2400

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 071007942 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071007942 Illinois
Behavioral Health & Social Service Providers / Health 103TH0004X 071007942 Illinois

Profile Details

NPI number 1861758583
LBN Legal business name Dr Joseph Wallach Phd Llc
DBA Doing business as
Authorized official Wallach, Joseph PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2012
Last updated Apr 6th, 2012 - about 12 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.

Request for update

Popular Providers