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NPI Code Detail

MEDICARE: DR. PAMELA DALEY PSYD

MEDICARE:  DR. PAMELA  DALEY  PSYD
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
1103T00000XPsychologist071-006720IL

General Provider Information

NPI Number : 1003018268
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAMELA DALEY PSYD
Provider Business Mailing Address
First Line : 225 S RIDGELAND AVE
Second Line :
City : OAK PARK
State : IL
Zip : 60302-3225
Country : US
Telephone Number : 773-615-9477
Fax Number :
Provider Business Practice Location Address
First Line : 30 N MICHIGAN AVE STE 1022
Second Line :
City : CHICAGO
State : IL
Zip : 60602-3758
Country : US
Telephone Number : 773-615-9477
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2007
Last Update Date : 12/19/2025

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Directions to “ DR. PAMELA DALEY PSYD” Practice Location

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