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NPI Code Detail

MEDICARE: INSIGHT PSYCHOLOGICAL SERVICES PLLC

MEDICARE: INSIGHT PSYCHOLOGICAL SERVICES PLLC
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
1251S00000XCommunity/Behavioral Health Agency4703AZ
2103TC0700XClinical Psychologist

General Provider Information

NPI Number : 1053773226
Entity Type Code : Organization
Provider Name (Legal Business Name) : INSIGHT PSYCHOLOGICAL SERVICES PLLC
Provider Business Mailing Address
First Line : 3660 N LAKE SHORE DR STE 210
Second Line :
City : CHICAGO
State : IL
Zip : 60613-5302
Country : US
Telephone Number : 773-450-8049
Fax Number :
Provider Business Practice Location Address
First Line : 3660 N LAKE SHORE DR STE 201
Second Line :
City : CHICAGO
State : IL
Zip : 60613-5302
Country : US
Telephone Number : 773-450-8049
Fax Number :
Authorized Official
Title or Position : OWNER/PSY.D
Name : DAVID CHARLES USNDEK
Credential : PSY.D
Telephone Number : 773-450-8049
Provider Enumeration Date : 03/25/2016
Last Update Date : 04/15/2026

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Directions to “INSIGHT PSYCHOLOGICAL SERVICES PLLC ” Practice Location

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