MEDICARE: TOGETHER & THROUGH LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	103TC1900X	Counseling Psychologist
3	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1396405262
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOGETHER & THROUGH LLC

Provider Business Mailing Address
First Line	:	825 CHICAGO AVE STE 2A
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60202-2375
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	825 CHICAGO AVE STE 2A
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60202-2375
Country	:	US
Telephone Number	:	312-324-4419
Fax Number	:

Authorized Official
Title or Position	:	LICENSED CLINICAL PSYCHOLOGIST
Name	:	DR. DANIEL K. PHILLIP
Credential	:	PSYD
Telephone Number	:	312-324-4419

Provider Enumeration Date	:	12/20/2021
Last Update Date	:	12/21/2021

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Directions to “TOGETHER & THROUGH LLC ” Practice Location

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