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NPI Code Detail

MEDICARE: ARGONNE CENTER PLLC

MEDICARE: ARGONNE CENTER PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist

General Provider Information

NPI Number : 1437898558
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARGONNE CENTER PLLC
Provider Business Mailing Address
First Line : 5153 N CLARK ST STE 306
Second Line :
City : CHICAGO
State : IL
Zip : 60640-6850
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5153 N CLARK ST STE 306
Second Line :
City : CHICAGO
State : IL
Zip : 60640-6850
Country : US
Telephone Number : 770-380-8853
Fax Number :
Authorized Official
Title or Position : FOUNDER/PSYCHOLOGIST
Name : DR. CALEB CHADWICK
Credential :
Telephone Number : 770-380-8853
Provider Enumeration Date : 05/27/2022
Last Update Date : 05/27/2022

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