| Angel Buchanan, Ph.d. Llc | |
|
115 15th St Wilmette IL 60091-3231 | |
| (847) 906-3900 | |
| (847) 906-3997 |
| Full Name | Angel Buchanan, Ph.d. Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 115 15th St, Wilmette, Illinois |
| Authorized Official Name and Position | Angel Buchanan (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8479063900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angel Buchanan, Ph.d. Llc Po Box 216 Wilmette IL 60091-0216 Ph: (847) 906-3900 | Angel Buchanan, Ph.d. Llc 115 15th St Wilmette IL 60091-3231 Ph: (847) 906-3900 |
| NPI Number | 1831787902 |
|---|---|
| Provider Enumeration Date | 01/05/2021 |
| Last Update Date | 01/05/2021 |
| Certification Date | 01/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831787902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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