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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

NPI Number 1386097186
LBN Legal business name LOGAN SQUARE COUNSELING LLC
Authorized official MARK SCIARRINO - (PRESIDENT, LICENSED PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 07/15/2016
Last updated 08/15/2016 - About 10 years ago
Identifiers
IL License # 071008195
Other 1861763914 ORGANIZATION PRESIDENT AND SOLE PROVIDER'S RENDERING NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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