Pro Psych Associates Sc

NPI 1033267661 - Psychologist - 103TC0700X

NPI Details
NPI 1033267661
Enumeration Date 01/08/2007
Last Updated 07/09/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name OK RO OK
Position PRESIDENT
Phone (847) 544-5102
Fax (847) 544-5103
Practice Location
2604 DEMPSTER ST
SUITE 307
PARK RIDGE IL, 60068-8412, US
Phone (847) 544-5102
Fax (847) 544-5103
Business Location
2604 DEMPSTER ST
SUITE 307
PARK RIDGE IL, 60068-8412, US
Phone (847) 544-5102
Fax (847) 544-5103
Toxanomy
Taxonomy Code 103TC0700X
License State Illinois
License Number 071-006314
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According to our database, Pro Psych Associates Sc NPI is 1033267661, taxonomy code is 103TC0700X and license number is 071-006314, license state is located at Illinois. Pro Psych Associates Sc physically located at 2604 Dempster St, Park Ridge IL, 60068-8412. NPI Number 1033115704 has the healthcare provider type.

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1033267661 NPI number is provided on an as is basis without warranty of any kind. 1033267661 is maintained by the National Plan & Provider Enumeration System. The contents of Pro Psych Associates Sc are for informational purposes only.