OrganizationChicago Center For Psychophysical HealingAcupuncturistOther Service ProvidersPractice Address1622 W Devon Ave, Chicago, IL 60660-1214(773) 764-0960PECOS EnrollmentBased on the most recent information from CMS, provider Chicago Center For Psychophysical Healing does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1417197955Provider TypeOrganizationFull NameChicago Center For Psychophysical HealingSubpartNoEnumeration Date2/24/2009Last Updated2/24/2009Contact InformationPractice LocationPractice Address1622 W Devon Ave, Chicago, IL 60660-1214Phone(773) 764-0960FaxUnlisted FaxMailing LocationMailing Address1622 W Devon Ave, Chicago, IL 60660-1214Phone(773) 764-0960FaxUnlisted FaxAuthorized OfficialNameNorthage, John R (Ceo)Phone(773) 764-0960Provider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicense198.000302IllinoisCode171100000XDescriptionAcupuncturistOther Service ProvidersLicense198.000412Illinois