Phc of Buffalo Grove Clinical Psychology

NPI #1235430612 in Vernon Hills, Illinois

Provider Information

NPI Number: 1235430612
Entity Type: Organization
Organization Name: Phc of Buffalo Grove Clinical Psychology
Primary Specialty: Psychologist
Enumeration Date: Nov 16, 2010
Last Updated: Sep 6, 2013

Practice Location

Address: 175 E HAWTHORN PKWY
Address 2: SUITE 235
City: Vernon Hills
State: Illinois
ZIP Code: 60061-1463
Phone: (847) 868-3435

Authorized Official

Name: JEREMY WARNER
Title: PRACTICE MANAGER
Phone: (847) 868-3435

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X
Psychologist	103T00000X	Primary

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