Fraser Vaselakos & Associates, Pc

NPI 1821168162 - Psychologist - 103TC0700X

NPI Details
NPI 1821168162
Enumeration Date 11/08/2006
Last Updated 06/19/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name M. DENISE M. DENISE
Position OWNER
Phone (708) 645-0798
Fax (708) 645-0841
Practice Location
12627 W 143RD ST
HOMER GLEN IL, 60491-8381, US
Phone (708) 645-0798
Fax (708) 645-0841
Business Location
12627 W 143RD ST
HOMER GLEN IL, 60491-8381, US
Phone (708) 645-0798
Fax (708) 645-0841
Toxanomy
Taxonomy Code 103TC0700X
License State Illinois
License Number 071004958
Remove 1821168162 NPI Number
 

According to our database, Fraser Vaselakos & Associates, Pc NPI is 1821168162, taxonomy code is 103TC0700X and license number is 071004958, license state is located at Illinois. Fraser Vaselakos & Associates, Pc physically located at 12627 W 143rd St, Homer Glen IL, 60491-8381. NPI Number 1033115704 has the healthcare provider type.

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1821168162 NPI number is provided on an as is basis without warranty of any kind. 1821168162 is maintained by the National Plan & Provider Enumeration System. The contents of Fraser Vaselakos & Associates, Pc are for informational purposes only.