Icon Psychologies Corp

LBN: Icon Psychologies Corp
Icon Psychologies Corp is an health care organization with primary practice located at 620 N River Rd Ste 106 , Naperville IL 60563-8951. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Icon Psychologies Corp can be contacted via phone (630) 364-2484, or through Koko, Soberekon M via phone (312) 342-6066.

Contact Information

Primary practice address
620 N River Rd Ste 106 Naperville IL 60563-8951
Fax: (630) 536-8511
Website:
Authorized official contact:
Name: Koko, Soberekon M Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1972990497
LBN Legal business name Icon Psychologies Corp
DBA Doing business as
Authorized official Koko, Soberekon M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2015
Last updated Nov 26th, 2017 - about 8 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.

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