Illinois Geriatric Psychological Services P.c.

NPI 1184999310 - Psychologist - 103TC0700X

NPI Details
NPI 1184999310
Enumeration Date 03/21/2012
Last Updated 03/21/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name PETER M PETER
Position PRESIDENT
Phone (815) 212-3209
Fax
Practice Location
503 4TH ST
HARVARD IL, 60033-2311, US
Phone (815) 212-3209
Fax
Business Location
503 4TH ST
HARVARD IL, 60033-2311, US
Phone
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Illinois
License Number 071007428
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According to our database, Illinois Geriatric Psychological Services P.c. NPI is 1184999310, taxonomy code is 103TC0700X and license number is 071007428, license state is located at Illinois. Illinois Geriatric Psychological Services P.c. physically located at 503 4th St, Harvard IL, 60033-2311. NPI Number 1033115704 has the healthcare provider type.

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1184999310 NPI number is provided on an as is basis without warranty of any kind. 1184999310 is maintained by the National Plan & Provider Enumeration System. The contents of Illinois Geriatric Psychological Services P.c. are for informational purposes only.