David Edward Victorson PHD

NPI 1609043553 - Psychologist - 103TC0700X

NPI Details
NPI 1609043553
Gender Male
Enumeration Date 05/09/2008
Last Updated 05/09/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2400 CHESTNUT AVE
GLENVIEW PARK CENTER - INTEGRATIVE MEDICINE, SUITE A
GLENVIEW IL, 60026-8321, US
Phone (847) 657-3540
Fax (847) 657-3530
Business Location
2650 RIDGE AVE
EVANSTON HOSPITAL
EVANSTON IL, 60201-1718, US
Phone (847) 570-1206
Fax (847) 570-1248
Toxanomy
Taxonomy Code 103TC0700X
License State Illinois
License Number 071-007103
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According to our database, David Edward Victorson PHD NPI is 1609043553, taxonomy code is 103TC0700X and license number is 071-007103, license state is located at Illinois. David Edward Victorson PHD physically located at 2400 Chestnut Ave, Glenview IL, 60026-8321. NPI Number David Edward Victorson PHD has the Individual type.

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1609043553 NPI number is provided on an as is basis without warranty of any kind. 1609043553 is maintained by the National Plan & Provider Enumeration System. The contents of David Edward Victorson PHD are for informational purposes only.