Diane M Herbstman Welbel Psyd Llc | |
3139 N Lincoln Ave Suite 203 Chicago IL 60657-3114 | |
(847) 571-7726 | |
Not Available |
Full Name | Diane M Herbstman Welbel Psyd Llc |
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Speciality | Psychologist - Clinical |
Location | 3139 N Lincoln Ave, Chicago, Illinois |
Authorized Official Name and Position | Diane M Welbel (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 8475717726 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Diane M Herbstman Welbel Psyd Llc 1412 W Wrightwood Ave Unit G Chicago IL 60614-1195 Ph: (847) 571-7726 | Diane M Herbstman Welbel Psyd Llc 3139 N Lincoln Ave Suite 203 Chicago IL 60657-3114 Ph: (847) 571-7726 |
NPI Number | 1285182121 |
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Provider Enumeration Date | 09/20/2016 |
Last Update Date | 09/20/2016 |
Identifier | Type | State | Issuer |
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1285182121 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 071008625 (Illinois) | Primary |
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