Jon-Paul Champine, Psy.d., P.c.

NPI #1629377882 in Evanston, Illinois

Provider Information

NPI Number: 1629377882
Entity Type: Organization
Organization Name: Jon-Paul Champine, Psy.d., P.c.
Primary Specialty: Psychologist - Clinical
Enumeration Date: Mar 26, 2011
Last Updated: Mar 26, 2011

Practice Location

Address: 2530 CRAWFORD AVE
Address 2: SUITE 315
City: Evanston
State: Illinois
ZIP Code: 60201-4970
Phone: (847) 869-4650

Authorized Official

Name: DR. JON-PAUL CHAMPINE, PSYD
Title: PRESIDENT
Phone: (847) 869-4650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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