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NPI Code Detail

MEDICARE: DR. DANNY VOGEL PSY.D.

MEDICARE: DR. DANNY VOGEL PSY.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
1103TC0700XClinical Psychologist071006046IL
2103TC0700XClinical Psychologist071-006046IL

General Provider Information

NPI Number : 1679522536
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANNY VOGEL PSY.D.
Provider Business Mailing Address
First Line : 3435 W VAN BUREN ST
Second Line :
City : CHICAGO
State : IL
Zip : 60624-3312
Country : US
Telephone Number : 312-286-5039
Fax Number :
Provider Business Practice Location Address
First Line : 3435 W VAN BUREN ST
Second Line :
City : CHICAGO
State : IL
Zip : 60624-3312
Country : US
Telephone Number : 773-826-6677
Fax Number : 773-826-6314
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2006
Last Update Date : 11/13/2018

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