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NPI Code Detail

MEDICARE: DR. KEVIN A OSTEN PSY.D.

MEDICARE:  DR. KEVIN A OSTEN  PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist071-007148IL

General Provider Information

NPI Number : 1699813576
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN A OSTEN PSY.D.
Provider Business Mailing Address
First Line : PO BOX 408818
Second Line :
City : CHICAGO
State : IL
Zip : 60640-8818
Country : US
Telephone Number : 773-220-5452
Fax Number :
Provider Business Practice Location Address
First Line : 980 N MICHIGAN AVE
Second Line : SUITE #1083
City : CHICAGO
State : IL
Zip : 60611-4501
Country : US
Telephone Number : 773-220-5452
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2007
Last Update Date : 08/25/2008

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Directions to “ DR. KEVIN A OSTEN PSY.D.” Practice Location

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