Creating Connections Pc

Psychologist · Chicago, IL

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At a glance

1300 W Belmont Ave Ste 407, Chicago, IL 60657-3242

NPPES record updated Jan 2, 2014. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

1300 W Belmont Ave Ste 407
Chicago, IL 60657-3242
Professional details: NPI, taxonomy & registry record
NPI1033530449
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Registry details

Primary taxonomy
Psychologist
Taxonomy code
103T00000X
Enumeration date
Jan 2, 2014
Record updated
Jan 2, 2014
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Psychologist

103T00000X · Primary

License reported: 071005780 IL

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1300 W Belmont Ave Ste 407
Chicago, IL 60657-3242
Phone
(773) 297-2696
Mailing address
1300 W BELMONT AVE STE 407

CHICAGO, IL 606573242
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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