Center For Psychological Services, Llc. | |
465 Central Ave Suite 201 Northfield IL 60093-3045 | |
(847) 446-4617 | |
(847) 446-4673 |
Full Name | Center For Psychological Services, Llc. |
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Speciality | Psychologist - Clinical |
Location | 465 Central Ave, Northfield, Illinois |
Authorized Official Name and Position | Daniel R Lilie (CLINICAL PSYCHOLOGIST/DIRECTOR) |
Authorized Official Contact | 8474464617 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Center For Psychological Services, Llc. 465 Central Ave Suite 201 Northfield IL 60093-3045 Ph: (847) 446-4617 | Center For Psychological Services, Llc. 465 Central Ave Suite 201 Northfield IL 60093-3045 Ph: (847) 446-4617 |
NPI Number | 1548319775 |
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Provider Enumeration Date | 01/09/2007 |
Last Update Date | 11/06/2012 |
Identifier | Type | State | Issuer |
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1548319775 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 071-004395 (Illinois) | Primary |
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