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Oak Park Behavioral Medicine LLC

NPI #1003161225 in Oak Park, Illinois

Provider Information

NPI Number
1003161225
Entity Type
Organization
Organization Name
Oak Park Behavioral Medicine LLC
Primary Specialty
Psychologist - Clinical
Enumeration Date
Jul 14, 2012
Last Updated
Jul 14, 2012

Practice Location

Address
818 HARRISON ST
Address 2
SUITE 210
City
Oak Park
State
Illinois
ZIP Code
60304-1144
Phone
(312) 725-6175

Authorized Official

Name
DR. TIFFANY TAFT, PSYD
Title
OWNER
Phone
(312) 725-6175

Specialties & Taxonomy Codes

Specialty
Psychologist - Clinical — Clinical

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