Provider Demographics
NPI:1972271591
Name:WOOL PSYCHOLOGY LLC
Entity Type:Organization
Organization Name:WOOL PSYCHOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF PRACITCE
Authorized Official - Prefix:
Authorized Official - First Name:ELIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOL
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:708-560-6653
Mailing Address - Street 1:1121 LAKE COOK RD STE L
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-5234
Mailing Address - Country:US
Mailing Address - Phone:312-722-7436
Mailing Address - Fax:
Practice Address - Street 1:1121 LAKE COOK RD STE L
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-5234
Practice Address - Country:US
Practice Address - Phone:312-722-7436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-30
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)