Power Teen Program
Power Teen Program is a Clinical Psychologist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2009.
- Licensed in
- IL
- In the registry since
- 2009
Practice location Address checks out
300 N Central AveChicago, IL 60644
Phone: (312) 261-1421
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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 071002911 (IL) |
|---|
Record details
| NPI number | 1134458466 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Glenda Cunningham — Chief Executive Officer · (312) 521-3336 |
| NPI enumerated | December 16, 2009 |
| Last updated in NPPES | December 16, 2009 |
| Mailing address | 9336 Morgan Ave, Evanston, IL 60203-1418 |
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