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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALZA GREAT LAKES PSYCHOTHERAPY PROFESSIONAL LLC

Active Organization

ALZA GREAT LAKES PSYCHOTHERAPY PROFESSIONAL LLC is a Clinical Social Worker organization located in CHICAGO, Illinois. NPI 1720812860 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · CHICAGO, IL

Registration Details

NPI Number
1720812860
Provider Type
Organization
NPI Issued
Aug 30, 2024 (1.9377399019478 yrs)
Last Updated
Feb 12, 2025

Practice Information

Address
1719 N RUTHERFORD AVE
CHICAGO, IL, 607073942
Browse IL providers · Browse ZIP 60707
Phone
7088247533
Fax
3127484256
Primary Specialty
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.