Unknown Individual – Clinical Psychologist, NPI 1669586897
Clinical Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
405, Illinois Avenue, St. Charles, Kane County, Illinois, 60174, United States
SUITE 2C
ST CHARLES, IL 601742963
Phone: (630) 377-3535
Fax: (630) 530-9527
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60174)
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