Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Art Therapist |
221700000X | |||
Clinical |
103TC0700X | 62 | Psychologist, Clinical | |
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Dance Therapist |
225600000X | |||
Music Therapist |
225A00000X |
| NPI Number | 1558606590 |
||||
| LBN Legal business name | MUSIC INSTITUTE OF CHICAGO | ||||
| Authorized official | MARNI ROSEN - (PRACTICE MANAGER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 12/03/2012 | ||||
| Last updated | 05/05/2015 - About 11 years ago | ||||
| Identifiers |
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