| Organization Name: | PRO PSYCH ASSOCIATES SC |
| NPI Number: | 1033267661 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | OK RO HONG (PRESIDENT) |
| Mailing Address: | 2604 Dempster St Suite 307 Park Ridge |
| State: | IL US |
| Postal Code: | 600688412 |
| Phone Number: | 8475445102 |
| Fax Number: | 8475445103 |
| NPI Enumeration Date: | 01/08/2007 |
| NPI Last Update Date: | 07/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 071-006314 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |