Provider Demographics
NPI:1346534310
Name:EVERYDAY PSYCHOTHERAPY CHICAGO
Entity Type:Organization
Organization Name:EVERYDAY PSYCHOTHERAPY CHICAGO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MADDALENA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCUDIERO
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:773-412-2268
Mailing Address - Street 1:2930 N PINE GROVE AVE APT 306
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-5702
Mailing Address - Country:US
Mailing Address - Phone:773-412-2268
Mailing Address - Fax:
Practice Address - Street 1:2930 N PINE GROVE AVE APT 306
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-5702
Practice Address - Country:US
Practice Address - Phone:773-412-2268
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180007414101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty