IndividualActive
Bridget Makol
NPI 1083393268 · Clinical Child & Adolescent Psychologist · Chicago, IL
Provider details
- NPI number
- 1083393268
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Cognitive & Behavioral Psychologist103TB0200X
Behavioral Health & Social Service Providers
- Health Psychologist103TH0004X
Behavioral Health & Social Service Providers
Practice location
1653 W Congress Pkwy
Chicago, IL 60612-3833
Phone: (312) 563-1465
Approximate (ZIP-level) locationGet directions
Mailing address
1653 W Congress Pkwy
Chicago, IL 60612-3833
Registry dates
- Enumerated
- 2023-07-14
- Last updated
- 2024-03-05
- Certified
- 2024-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.