| K M Doheny Pc | |
|
307 N Michigan Ave Suite 802 Chicago IL 60601-5311 | |
| (312) 409-0899 | |
| (773) 472-1639 |
| Full Name | K M Doheny Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 307 N Michigan Ave, Chicago, Illinois |
| Authorized Official Name and Position | Kathryn Mary Doheny (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3124090899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| K M Doheny Pc 635 W Wrightwood Ave Unit 5 Chicago IL 60614-6283 Ph: (312) 409-0899 | K M Doheny Pc 307 N Michigan Ave Suite 802 Chicago IL 60601-5311 Ph: (312) 409-0899 |
| NPI Number | 1811017932 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811017932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Illinois) | Primary |
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