David A Sisk Phd Inc | |
588 Lincoln Ave Ste 200 Winnetka IL 60093-2308 | |
(773) 732-5073 | |
Not Available |
Full Name | David A Sisk Phd Inc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 588 Lincoln Ave Ste 200, Winnetka, Illinois |
Authorized Official Name and Position | David A Sisk (PRESIDENT) |
Authorized Official Contact | 7737325073 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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David A Sisk Phd Inc 588 Lincoln Ave Ste 200 Winnetka IL 60093-2308 Ph: (773) 732-5073 | David A Sisk Phd Inc 588 Lincoln Ave Ste 200 Winnetka IL 60093-2308 Ph: (773) 732-5073 |
NPI Number | 1720654007 |
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Provider Enumeration Date | 05/27/2021 |
Last Update Date | 05/27/2021 |
Certification Date | 05/27/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720654007 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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