| Danielle Dragon Llc | |
|
518 Davis St Ste 217 Evanston IL 60201-4624 | |
| (847) 485-9060 | |
| Not Available |
| Full Name | Danielle Dragon Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 518 Davis St Ste 217, Evanston, Illinois |
| Authorized Official Name and Position | Danielle Dragon (PSYCHOLOGIST) |
| Authorized Official Contact | 8474859060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle Dragon Llc 3004 W Chase Ave Chicago IL 60645-1124 Ph: (847) 485-9060 | Danielle Dragon Llc 518 Davis St Ste 217 Evanston IL 60201-4624 Ph: (847) 485-9060 |
| NPI Number | 1275173833 |
|---|---|
| Provider Enumeration Date | 01/12/2020 |
| Last Update Date | 01/12/2020 |
| Certification Date | 01/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275173833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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