Provider Demographics
NPI:1720203433
Name:INSTITUTE FOR PSYCHOLOGICAL SERVICES PC
Entity Type:Organization
Organization Name:INSTITUTE FOR PSYCHOLOGICAL SERVICES PC
Other - Org Name:IPS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:CARGER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:630-990-5981
Mailing Address - Street 1:1010 JORIE BLVD STE 356
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-4478
Mailing Address - Country:US
Mailing Address - Phone:630-990-5981
Mailing Address - Fax:
Practice Address - Street 1:1010 JORIE BLVD STE 356
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-4478
Practice Address - Country:US
Practice Address - Phone:630-990-5981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2014-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL060.005608103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty