OrganizationActive
Health Providers
NPI 1891944484 · Psychoanalyst · Glenwood, IL
Provider details
- NPI number
- 1891944484
- Entity type
- Organization
- Primary specialty
- PsychoanalystBehavioral Health & Social Service Providers
- Authorized official
- Keith Roper, Owner
- License
- 036055359 (IL)
Practice location
19330 S Cottage Grove Ave
Glenwood, IL 60425-1834
Phone: (708) 758-6200
Mailing address
1507 W Polk St
Chicago, IL 60607-3120
Registry dates
- Enumerated
- 2008-09-18
- Last updated
- 2008-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.