Wakeful Psychological And Consulting Services, Pllc | |
1740 Ridge Ave Ste 200c Evanston IL 60201-5918 | |
(312) 690-3719 | |
(224) 999-6781 |
Full Name | Wakeful Psychological And Consulting Services, Pllc |
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Speciality | Psychologist - Clinical |
Location | 1740 Ridge Ave Ste 200c, Evanston, Illinois |
Authorized Official Name and Position | Tak-seng Lodro (OWNER/EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3128106681 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wakeful Psychological And Consulting Services, Pllc 1740 Ridge Ave Ste 200c Evanston IL 60201-5918 Ph: (312) 690-3719 | Wakeful Psychological And Consulting Services, Pllc 1740 Ridge Ave Ste 200c Evanston IL 60201-5918 Ph: (312) 690-3719 |
NPI Number | 1407329063 |
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Provider Enumeration Date | 01/07/2019 |
Last Update Date | 07/10/2024 |
Certification Date | 07/10/2024 |
Identifier | Type | State | Issuer |
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1407329063 | NPI | - | NPPES |
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