Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cocreate Prof Corp

Organization Clinical Psychologist · NPI 1396771697

Cocreate Prof Corp is a Clinical Psychologist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3850 N Lawndale Ave Ste 203
Chicago, IL 60618-4115
Phone: (773) 539-9183
Fax: (773) 509-0874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071-006748 (IL)

Record details

NPI number1396771697
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joann Cimo — President · (773) 539-9183
NPI enumeratedJune 25, 2006
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026
Mailing address3850 N Lawndale Ave, Ste 203, Chicago, IL 60618-4115

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