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General NPI Number Information
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NPI Number | 1720203433
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Entity Type | Organization
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Legal Business Name | INSTITUTE FOR PSYCHOLOGICAL SERVICES PC
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 04/11/2014
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Provider Practice Location Address
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Address Line | 1010 JORIE BLVD STE 356
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City | OAK BROOK
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State | IL
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Zip | 60523-4478
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Country | US
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Telephone | 630-990-5981
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 JORIE BLVD STE 356
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City | OAK BROOK
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State | IL
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Zip | 60523-4478
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Country | US
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Telephone | 630-990-5981
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES CARGER
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Credential | PH.D.
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Telephone | 630-990-5981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 060.005608
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License Number State | IL
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