| Dr. Elom Amuzu Llc | |
|
18237 Kedzie Ave Homewood IL 60430-1411 | |
| (708) 299-0035 | |
| Not Available |
| Full Name | Dr. Elom Amuzu Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 18237 Kedzie Ave, Homewood, Illinois |
| Authorized Official Name and Position | Elom Amuzu (OWNER AND LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 3122929753 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Elom Amuzu Llc 18237 Kedzie Ave Homewood IL 60430-1411 Ph: (312) 292-9753 | Dr. Elom Amuzu Llc 18237 Kedzie Ave Homewood IL 60430-1411 Ph: (708) 299-0035 |
| NPI Number | 1508470774 |
|---|---|
| Provider Enumeration Date | 09/03/2020 |
| Last Update Date | 11/08/2020 |
| Certification Date | 11/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508470774 | NPI | - | NPPES |
| 071010304 | Other | IL | PROFESSIONAL LICENSE NO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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