| Joann K. Nishimoto, Psyd, Llc | |
|
510 N Lake St Ste 3 Mundelein IL 60060-1800 | |
| (847) 337-7892 | |
| Not Available |
| Full Name | Joann K. Nishimoto, Psyd, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 510 N Lake St Ste 3, Mundelein, Illinois |
| Authorized Official Name and Position | Joann K Nishimoto (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 8473377892 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joann K. Nishimoto, Psyd, Llc 510 N Lake St Ste 3 Mundelein IL 60060-1800 Ph: (847) 337-7892 | Joann K. Nishimoto, Psyd, Llc 510 N Lake St Ste 3 Mundelein IL 60060-1800 Ph: (847) 337-7892 |
| NPI Number | 1508191446 |
|---|---|
| Provider Enumeration Date | 10/09/2009 |
| Last Update Date | 10/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508191446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071006907 (Illinois) | Primary |
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