Healthcare Provider Details

I. General information

NPI: 1588622666
Provider Name (Legal Business Name): JOYCE CAROL BOOKSHESTER PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

737 N MICHIGAN AVE SUITE 2240
CHICAGO IL
60611-2615
US

IV. Provider business mailing address

737 N MICHIGAN AVE SUITE 2240
CHICAGO IL
60611-2615
US

V. Phone/Fax

Practice location:
  • Phone: 312-943-0950
  • Fax: 773-528-6581
Mailing address:
  • Phone: 312-943-0950
  • Fax: 773-528-6581

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: