Provider Demographics
NPI:1902267107
Name:OHARA THERAPY OF CHICAGO
Entity Type:Organization
Organization Name:OHARA THERAPY OF CHICAGO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:
Authorized Official - Last Name:O'HARA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:224-637-0036
Mailing Address - Street 1:318 W HALF DAY RD
Mailing Address - Street 2:PMB 167
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-6547
Mailing Address - Country:US
Mailing Address - Phone:224-637-0036
Mailing Address - Fax:
Practice Address - Street 1:318 W HALF DAY RD
Practice Address - Street 2:PMB 167
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-6547
Practice Address - Country:US
Practice Address - Phone:224-637-0036
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-15
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071009243251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health