Philip Andrew Doherty

NPI #1720835432 in Forest Park, Illinois

Provider Information

NPI Number: 1720835432
Entity Type: Individual
Name: Philip Andrew Doherty
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: May 1, 2024
Last Updated: Jun 6, 2024

Practice Location

Address: 7621 ROOSEVELT RD
City: Forest Park
State: Illinois
ZIP Code: 60130-2212
Phone: (773) 234-0423

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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