Jerome Stanley Pietrzak PHD

NPI 1699971382 - Psychologist - 103T00000X

NPI Details
NPI 1699971382
Gender Male
Enumeration Date 06/21/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
830 S BUFFALO GROVE RD
SUITE 112
BUFFALO GROVE IL, 60089-3772, US
Phone (847) 520-3930
Fax
Business Location
830 S BUFFALO GROVE RD
SUITE 112
BUFFALO GROVE IL, 60089-3772, US
Phone (847) 854-7881
Fax
Toxanomy
Taxonomy Code 103T00000X
License State Illinois
License Number 071001567
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According to our database, Dr. Jerome Stanley Pietrzak PHD NPI is 1699971382, taxonomy code is 103T00000X and license number is 071001567, license state is located at Illinois. Jerome Stanley Pietrzak PHD physically located at 830 S Buffalo Grove Rd, Buffalo Grove IL, 60089-3772. NPI Number Jerome Stanley Pietrzak PHD has the Individual type.

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1699971382 NPI number is provided on an as is basis without warranty of any kind. 1699971382 is maintained by the National Plan & Provider Enumeration System. The contents of Jerome Stanley Pietrzak PHD are for informational purposes only.