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EXIST CHICAGO, P.C.

Behavioral Health & Social Service Providers Psychologist

Provider NPI: 1104375666

Organization Information:
Organization Name:  EXIST CHICAGO, P.C.
Organization is not Subpart
Authorized Official:  CHRISTOPHER RAYMOND ZURAWIC  PRESIDENT  847-858-5212

Practice Location:
1733 PARK ST STE 100  NAPERVILLE, IL 60563-4863 US
Tel: 847-858-5212  Fax: --

Business Mailing Address:
4728 N PAULINA ST 3N CHICAGO, IL 60640-4431 US
Tel: 847-858-5212  Fax: --

NPI Information:
NPI: 1104375666
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103T00000XBehavioral Health & Social Service Providers
Psychologist
IL071008088
N103TA0700XBehavioral Health & Social Service Providers
Psychologist
IL071008088
N103TF0000XBehavioral Health & Social Service Providers
Psychologist
IL071008088
N103TP2701XBehavioral Health & Social Service Providers
Psychologist
IL071008088
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
IL071008088

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 103TC0700X

Type:

Classification:



Definition:



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