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2425 Royal Blvd 2nd Floor Elgin IL 60123-2507 | |
| (630) 923-5421 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2425 Royal Blvd, Elgin, Illinois |
| Authorized Official Name and Position | Meera Majmudar (PRESIDENT/DIRECTOR) |
| Authorized Official Contact | 6306054466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
19 E Sandstone Ct South Elgin IL 60177-3260 Ph: (630) 923-5421 | 2425 Royal Blvd 2nd Floor Elgin IL 60123-2507 Ph: (630) 923-5421 |
| NPI Number | 1124560446 |
|---|---|
| Provider Enumeration Date | 11/17/2016 |
| Last Update Date | 11/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124560446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071008888 (Illinois) | Primary |
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