| Lynne M. Simon Professional Corporation | |
|
636 Church St Ste 619a Evanston IL 60201-4586 | |
| (847) 328-8779 | |
| Not Available |
| Full Name | Lynne M. Simon Professional Corporation |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 636 Church St Ste 619a, Evanston, Illinois |
| Authorized Official Name and Position | Lynne M. Simon (PRESIDENT) |
| Authorized Official Contact | 8473288779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lynne M. Simon Professional Corporation 404 Church St Evanston IL 60201-4514 Ph: (847) 328-8779 | Lynne M. Simon Professional Corporation 636 Church St Ste 619a Evanston IL 60201-4586 Ph: (847) 328-8779 |
| NPI Number | 1952504664 |
|---|---|
| Provider Enumeration Date | 06/08/2007 |
| Last Update Date | 03/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952504664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071003423 (Illinois) | Primary |
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