Provider Demographics
NPI:1891816179
Name:RUDOLF DREIKURS PSYCHOLOGICAL SER. CEN.
Entity Type:Organization
Organization Name:RUDOLF DREIKURS PSYCHOLOGICAL SER. CEN.
Other - Org Name:ADLER SCHOOL OF PROFESSIONAL PSYCHOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF THE DREIKURS PSC
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:F
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:PH D
Authorized Official - Phone:312-201-5900
Mailing Address - Street 1:65 E WACKER PL
Mailing Address - Street 2:STE. 2100
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-7296
Mailing Address - Country:US
Mailing Address - Phone:312-201-5900
Mailing Address - Fax:312-201-8755
Practice Address - Street 1:65 E WACKER PL
Practice Address - Street 2:STE. 2200
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-7296
Practice Address - Country:US
Practice Address - Phone:312-201-5900
Practice Address - Fax:312-201-8755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL098.000036103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1617343OtherBLUE CROSS BLUE SHIELD