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NPI Code Detail

MEDICARE: EXPOSURE THERAPY CHICAGO PLLC

MEDICARE: EXPOSURE THERAPY CHICAGO 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1487260188
Entity Type Code : Organization
Provider Name (Legal Business Name) : EXPOSURE THERAPY CHICAGO PLLC
Provider Business Mailing Address
First Line : 213 W INSTITUTE PL STE 500
Second Line :
City : CHICAGO
State : IL
Zip : 60610-8792
Country : US
Telephone Number : 312-471-3910
Fax Number : 844-654-9548
Provider Business Practice Location Address
First Line : 213 W INSTITUTE PL STE 500
Second Line :
City : CHICAGO
State : IL
Zip : 60610-8792
Country : US
Telephone Number : 312-471-3910
Fax Number : 844-654-9548
Authorized Official
Title or Position : FOUNDER, CLINICAL PSYCHOLOGIST
Name : LISA ANNETTE CONWAY
Credential : PHD
Telephone Number : 307-399-1228
Provider Enumeration Date : 09/17/2020
Last Update Date : 02/12/2026

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Directions to “EXPOSURE THERAPY CHICAGO PLLC ” Practice Location

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