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NPI Code Detail

MEDICARE: PAMELA JEAN HOCHREITER

MEDICARE: PAMELA JEAN HOCHREITER
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
1103TS0200XSchool Psychologist1900931IL

General Provider Information

NPI Number : 1952816894
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA JEAN HOCHREITER
Provider Business Mailing Address
First Line : 6011 JAMES ST
Second Line :
City : TINLEY PARK
State : IL
Zip : 60477-1974
Country : US
Telephone Number : 708-532-5603
Fax Number :
Provider Business Practice Location Address
First Line : 601 WILLOW ST
Second Line :
City : FRANKFORT
State : IL
Zip : 60423-1140
Country : US
Telephone Number : 815-806-4600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2017
Last Update Date : 12/13/2017

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Directions to “ PAMELA JEAN HOCHREITER ” Practice Location

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