| Ivy Testing Associates | |
|
500 Lake Cook Rd Suite 350 Deerfield IL 60015-5609 | |
| (847) 597-7047 | |
| (847) 282-5001 |
| Full Name | Ivy Testing Associates |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 500 Lake Cook Rd, Deerfield, Illinois |
| Authorized Official Name and Position | Jeanne Yakin (PRESIDENT) |
| Authorized Official Contact | 3123420266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivy Testing Associates 500 Lake Cook Rd Suite 350 Deerfield IL 60015-5609 Ph: (847) 597-7047 | Ivy Testing Associates 500 Lake Cook Rd Suite 350 Deerfield IL 60015-5609 Ph: (847) 597-7047 |
| NPI Number | 1962643999 |
|---|---|
| Provider Enumeration Date | 03/21/2009 |
| Last Update Date | 05/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962643999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071.007436 (Illinois) | Primary |
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