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NPI Code Detail

MEDICARE: DR. JODI NORDMANN HARAP PHD

MEDICARE: DR. JODI NORDMANN HARAP PHD
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
1103TC0700XClinical Psychologist071-006188IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
146-5304932OTHERILALDER TAX ID NO
2071006188OTHERILIL STATE LICENSE NO

General Provider Information

NPI Number : 1588744551
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JODI NORDMANN HARAP PHD
Provider Business Mailing Address
First Line : 1701 E. WOODFIELD ROAD
Second Line : SUITE 1000
City : SCHAUMBURG
State : IL
Zip : 60173-5113
Country : US
Telephone Number : 847-240-2211
Fax Number : 847-240-2418
Provider Business Practice Location Address
First Line : 1101 31ST ST STE 105
Second Line :
City : DOWNERS GROVE
State : IL
Zip : 60515-5535
Country : US
Telephone Number : 630-206-0272
Fax Number : 630-598-9123
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2006
Last Update Date : 09/22/2023

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