Imole Psychological Services

LBN: Imole Psychological Services
Imole Psychological Services is an health care organization with primary practice located at 2622 W Cermak Rd Apt 1 , Chicago IL 60608-6172. The organization recently has 4 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Imole Psychological Services can be contacted via phone (312) 953-4924, or through Cabirou, Latifat via phone (312) 953-4924.

Contact Information

Primary practice address
2622 W Cermak Rd Apt 1 Chicago IL 60608-6172
Phone: (312) 953-4924
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cabirou, Latifat PHD
Phone: (312) 953-4924

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1700561859
LBN Legal business name Imole Psychological Services
DBA Doing business as
Authorized official Cabirou, Latifat PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2023
Last updated Jun 16th, 2023 - about 2 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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