| Edessa Mirzapolos, Psy.d. Pllc | |
|
24012 W Renwick Rd Ste 204 Plainfield IL 60544-8733 | |
| (773) 387-6350 | |
| Not Available |
| Full Name | Edessa Mirzapolos, Psy.d. Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 24012 W Renwick Rd Ste 204, Plainfield, Illinois |
| Authorized Official Name and Position | Edessa Mirzapolos (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7733876350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edessa Mirzapolos, Psy.d. Pllc 13654 Golden Meadow Dr Plainfield IL 60544-9842 Ph: () - | Edessa Mirzapolos, Psy.d. Pllc 24012 W Renwick Rd Ste 204 Plainfield IL 60544-8733 Ph: (773) 387-6350 |
| NPI Number | 1740964204 |
|---|---|
| Provider Enumeration Date | 06/14/2023 |
| Last Update Date | 06/14/2023 |
| Certification Date | 06/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740964204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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