Blue Lotus Neuropsychology, Pllc | |
636 Church St Ste 307 Evanston IL 60201-4579 | |
(847) 220-4365 | |
Not Available |
Full Name | Blue Lotus Neuropsychology, Pllc |
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Speciality | Clinical Neuropsychologist |
Location | 636 Church St Ste 307, Evanston, Illinois |
Authorized Official Name and Position | Chelsea Cooper (MANAGING PARTNER) |
Authorized Official Contact | 8472204365 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blue Lotus Neuropsychology, Pllc 636 Church St Ste 307 Evanston IL 60201-4579 Ph: (847) 220-4365 | Blue Lotus Neuropsychology, Pllc 636 Church St Ste 307 Evanston IL 60201-4579 Ph: (847) 220-4365 |
NPI Number | 1750036331 |
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Provider Enumeration Date | 02/13/2022 |
Last Update Date | 01/03/2024 |
Certification Date | 01/03/2024 |
Identifier | Type | State | Issuer |
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1750036331 | NPI | - | NPPES |
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