Unknown Individual – Psychiatry Physician, NPI 1508843129
Psychiatry Physician
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Provider Addresses for Unknown Individual
IL RT 83, Long Grove, Lake County, Illinois, 60061, United States
SUITE 106
LONG GROVE, IL 60047
Phone: (847) 955-1130
Fax: (847) 955-1132
Mailing address matches the actual address.
NPPES updates history
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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Insurance plans in this area (ZIP 60047)
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Provider's Procedures
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