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Psychiatry >> Psychiatry & Neurology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1003062555

Individual Registrant:
Gender: F
Not Sole Proprietor

Location and contact information for practice:
Tel: 847-686-3456  Fax: --

Contact information for business:
1044 KUFRIN WAY  LOMBARD, IL 60148-3429 US
Tel: 630-915-0517  Fax: --

Registration Information:
NPI: 1003062555
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2084P0800XAllopathic & Osteopathic Physicians
Psychiatry & Neurology

Legacy codes, insurance codes and state license numbers:



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