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977 Lakeview Pkwy Suite 1008 Vernon Hills IL 60061-1400 | |
| (312) 618-1921 | |
| (847) 816-8881 |
| Full Name | |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 977 Lakeview Pkwy, Vernon Hills, Illinois |
| Authorized Official Name and Position | Ronald Henry Rosenthal (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3126181921 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
977 Lakeview Pkwy Suite 1008 Vernon Hills IL 60061-1400 Ph: (312) 618-1921 | 977 Lakeview Pkwy Suite 1008 Vernon Hills IL 60061-1400 Ph: (312) 618-1921 |
| NPI Number | 1063576478 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063576478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (Illinois) | Primary |
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