Provider Demographics
NPI:1245853308
Name:AUGUST J CWIK PSY D LTD
Entity type:Organization
Organization Name:AUGUST J CWIK PSY D LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AUGUST
Authorized Official - Middle Name:J
Authorized Official - Last Name:CWIK
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:847-502-6308
Mailing Address - Street 1:2800 N LAKE SHORE DR APT 3017
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-6275
Mailing Address - Country:US
Mailing Address - Phone:847-502-6308
Mailing Address - Fax:773-857-7041
Practice Address - Street 1:30 N MICHIGAN AVE STE 1900
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3624
Practice Address - Country:US
Practice Address - Phone:312-346-6638
Practice Address - Fax:773-857-7041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-24
Last Update Date:2020-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty