Kenneth Adam Fogel, PSY D
NPI #1033121124 in Burr Ridge, Illinois
Provider Information
- NPI Number
- 1033121124
- Entity Type
- Individual
- Name
- Kenneth Adam Fogel, PSY D
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Credential
- PSY D
- Enumeration Date
- Aug 13, 2006
- Last Updated
- Jan 8, 2021
Practice Location
- Address
- 200 S FRONTAGE RD STE 324
- City
- Burr Ridge
- State
- Illinois
- ZIP Code
- 60527-6953
- Phone
- (847) 347-0491
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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