Provider Demographics
NPI:1730864414
Name:CHICAGO MIND SOLUTIONS-MILWAUKEE S.C.
Entity type:Organization
Organization Name:CHICAGO MIND SOLUTIONS-MILWAUKEE S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SALTZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:476-828-1328
Mailing Address - Street 1:4235 BIRCHWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-3860
Mailing Address - Country:US
Mailing Address - Phone:847-682-8132
Mailing Address - Fax:
Practice Address - Street 1:3970 N OAKLAND AVE STE 200
Practice Address - Street 2:
Practice Address - City:SHOREWOOD
Practice Address - State:WI
Practice Address - Zip Code:53211-2291
Practice Address - Country:US
Practice Address - Phone:414-207-4778
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty