| Ditchek Psychological Services, Pllc | |
|
1580 N Northwest Hwy Ste 228e Park Ridge IL 60068-1468 | |
| (847) 390-0800 | |
| Not Available |
| Full Name | Ditchek Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1580 N Northwest Hwy Ste 228e, Park Ridge, Illinois |
| Authorized Official Name and Position | Lisa Ditchek (MANAGER) |
| Authorized Official Contact | 8473900800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ditchek Psychological Services, Pllc 1580 N Northwest Hwy Ste 228e Park Ridge IL 60068-1468 Ph: (847) 390-0800 | Ditchek Psychological Services, Pllc 1580 N Northwest Hwy Ste 228e Park Ridge IL 60068-1468 Ph: (847) 390-0800 |
| NPI Number | 1679198055 |
|---|---|
| Provider Enumeration Date | 06/11/2020 |
| Last Update Date | 06/11/2020 |
| Certification Date | 06/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679198055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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