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General NPI Number Information
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NPI Number | 1780178418
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Entity Type | Organization
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Legal Business Name | CENTER FOCUSED THERAPY LLC
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Dates
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Enumeration Date | 06/16/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 30 N MICHIGAN AVE STE 908
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City | CHICAGO
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State | IL
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Zip | 60602-3771
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Country | US
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Telephone | 630-788-9369
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Fax |
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Provider Business Mailing Address
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Address Line | 30 N MICHIGAN AVE STE 908
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City | CHICAGO
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State | IL
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Zip | 60602-3771
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Country | US
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Telephone | 630-788-9369
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCHOLOGIST
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Name | DR. CHANDAN R BHAGIA
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Credential | PSYD
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Telephone | 630-788-9369
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 071009263
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License Number State | IL
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