| Pediatric Consultation Center And Associates Llc | |
|
3633 W Lake Ave Suite 406 Glenview IL 60026-5805 | |
| (847) 657-9885 | |
| Not Available |
| Full Name | Pediatric Consultation Center And Associates Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 3633 W Lake Ave, Glenview, Illinois |
| Authorized Official Name and Position | Sharon Johnson (OWNER) |
| Authorized Official Contact | 8476579885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Consultation Center And Associates Llc 3633 W Lake Ave Suite 406 Glenview IL 60026-5805 Ph: (847) 657-9885 | Pediatric Consultation Center And Associates Llc 3633 W Lake Ave Suite 406 Glenview IL 60026-5805 Ph: (847) 657-9885 |
| NPI Number | 1760840870 |
|---|---|
| Provider Enumeration Date | 02/03/2016 |
| Last Update Date | 02/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760840870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 071006756 (Illinois) | Primary |
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