| Equilibrium, Inc | |
|
53 W Jackson Blvd Ste 1119 Chicago IL 60604-4186 | |
| (312) 380-9554 | |
| Not Available |
| Full Name | Equilibrium, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 53 W Jackson Blvd Ste 1119, Chicago, Illinois |
| Authorized Official Name and Position | Suzanne Smith (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2197439017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Equilibrium, Inc 53 W Jackson Blvd Ste 1119 Chicago IL 60604-4186 Ph: (312) 380-9554 | Equilibrium, Inc 53 W Jackson Blvd Ste 1119 Chicago IL 60604-4186 Ph: (312) 380-9554 |
| NPI Number | 1003374638 |
|---|---|
| Provider Enumeration Date | 03/02/2019 |
| Last Update Date | 03/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003374638 | NPI | - | NPPES |
| 1194113308 | Other | IL | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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