Healthcare Provider Details

I. General information

NPI: 1750334009
Provider Name (Legal Business Name): GEORGE WILLIAM HOTCHKISS PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 E KENDALL DR UNIT A
YORKVILLE IL
60560-1956
US

IV. Provider business mailing address

PO BOX 458
YORKVILLE IL
60560-0458
US

V. Phone/Fax

Practice location:
  • Phone: 630-385-2784
  • Fax: 630-553-0550
Mailing address:
  • Phone: 630-385-2784
  • Fax: 630-553-0550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number071-004351
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: