| Michael S Black Ph D And Park Psychological Services Ltd | |
|
473 Park Ave Glencoe IL 60022-1549 | |
| (847) 835-5517 | |
| (847) 835-3321 |
| Full Name | Michael S Black Ph D And Park Psychological Services Ltd |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 473 Park Ave, Glencoe, Illinois |
| Authorized Official Name and Position | Michael Stuart Black (PRESIDENT) |
| Authorized Official Contact | 8478355517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael S Black Ph D And Park Psychological Services Ltd 473 Park Ave Glencoe IL 60022-1549 Ph: (947) 835-5517 | Michael S Black Ph D And Park Psychological Services Ltd 473 Park Ave Glencoe IL 60022-1549 Ph: (847) 835-5517 |
| NPI Number | 1407095466 |
|---|---|
| Provider Enumeration Date | 02/16/2009 |
| Last Update Date | 02/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407095466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071-000739 (Illinois) | Primary |
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