MEDICARE: DR. CLAUDIA G. PITTS PH.D.

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
1	103T00000X	Psychologist	071-004840	IL

General Provider Information

NPI Number	:	1285793703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CLAUDIA G. PITTS PH.D.

Provider Business Mailing Address
First Line	:	1 GOLFVIEW RD
Second Line	:	SUITE 4
City	:	LAKE ZURICH
State	:	IL
Zip	:	60047-1210
Country	:	US
Telephone Number	:	847-726-2400
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 SURRYSE RD
Second Line	:	SUITE 300
City	:	LAKE ZURICH
State	:	IL
Zip	:	60047-3217
Country	:	US
Telephone Number	:	847-726-2400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	02/09/2009

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