Provider Demographics
NPI:1073016184
Name:CHICAGOTLC LLC
Entity Type:Organization
Organization Name:CHICAGOTLC LLC
Other - Org Name:CHICAGO THERAPY AND LIFE COACHING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGUERITE
Authorized Official - Middle Name:
Authorized Official - Last Name:REESE
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:773-270-3076
Mailing Address - Street 1:150 S WACKER DR STE 2400
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60606-4211
Mailing Address - Country:US
Mailing Address - Phone:773-270-3076
Mailing Address - Fax:312-788-2701
Practice Address - Street 1:150 S WACKER DR STE 2400
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60606-4211
Practice Address - Country:US
Practice Address - Phone:773-270-3076
Practice Address - Fax:312-788-2701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-15
Last Update Date:2018-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health