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

FANDOM BEHAVIORAL HEALTH CLINIC PLLC

Active Organization

FANDOM BEHAVIORAL HEALTH CLINIC PLLC is a Professional Counselor organization located in CHICAGO, Illinois. NPI 1942913280 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · CHICAGO, IL

Registration Details

NPI Number
1942913280
Provider Type
Organization
NPI Issued
Jan 2, 2023 (3.6051393073374 yrs)
Last Updated
Mar 3, 2023

Practice Information

Address
564 W RANDOLPH ST UNIT 820
CHICAGO, IL, 606612218
Browse IL providers · Browse ZIP 60661
Phone
7087895669
Primary Specialty
Professional Counselor
101YP2500X
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.