REVIVE PSYCHOLOGICAL SERVICES P.C.
Social Work at Tower Hill Dr, Downers Grove, IL

License number
Illinois 071008111
Category
Social Work
Type
Clinical
Owner
Name: DR. GEETHA MUNISAMY PH.D.
Title: DIRECTOR
Phone: (312) 961-1557
Address
Address
1420 Tower Hill Dr, Downers Grove, IL 60517
National Provider ID: 1407146376
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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REVIVE PSYCHOLOGICAL SERVICES PC

Geetha Munisamy, Woodridge, IL 60517

Registration:
Mar 31, 2011
State ID:
67849086
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
Agent:
Geetha Munisamy,1420 Tower Hl Dr, Woodridge, IL 60517 (Physical)

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