Alza Great Lakes Psychotherapy Professional LLC
Alza Great Lakes Psychotherapy Professional LLC provides Clinical Social Worker services in Chicago, Illinois. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1719 N Rutherford AveChicago, IL 60707-3942
Phone: (708) 824-7533
Fax: (312) 748-4256
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1720812860 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ena Milllward — Lcsw · (773) 707-6093 |
| NPI enumerated | August 30, 2024 |
| Last updated in NPPES | February 12, 2025 |
| Certification date | February 12, 2025 |
| Mailing address | 7061 North Ave # 292, Oak Park, IL 60302-1015 |
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