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General NPI Number Information
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NPI Number | 1548617012
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Entity Type | Organization
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Legal Business Name | YEHUDA KROHN, PSY.D., P.C.
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Dates
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Enumeration Date | 05/15/2016
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Last Update Date | 05/16/2016
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Provider Practice Location Address
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Address Line | 6677 N LINCOLN AVE SUITE 232
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City | LINCOLNWOOD
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State | IL
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Zip | 60712-3619
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Country | US
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Telephone | 847-763-1184
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Fax | 847-258-7750
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Provider Business Mailing Address
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Address Line | 6677 N LINCOLN AVE SUITE 232
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City | LINCOLNWOOD
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State | IL
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Zip | 60712-3619
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Country | US
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Telephone | 847-763-1184
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Fax | 847-258-7750
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. YEHUDA KROHN
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Credential | PSY.D.
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Telephone | 847-763-1184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071006501
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 071006501
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License Number State | IL
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