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Contact Information

LOGAN SQUARE COUNSELING LLC
2724 N KEDZIE AVE
CHICAGO, IL60647-1514
 Phone: 773-245-3725
 Fax: 773-453-7258
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LOGAN SQUARE COUNSELING LLC · (Female)

NPI # 1386097186
Status Active
Credentials
Entity Individual
Enumeration date 07/15/2016
Last updated 08/15/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 071008195
  • Other 1861763914 ORGANIZATION PRESIDENT AND SOLE PROVIDER'S RENDERING NPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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