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NPI Code Detail

MEDICARE: DR. JESSE SEKEY PSYD.

MEDICARE:  DR. JESSE  SEKEY  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
1103TC0700XClinical Psychologist071004735IL

General Provider Information

NPI Number : 1780981605
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JESSE SEKEY PSYD.
Provider Business Mailing Address
First Line : 36W830 CRANE RD
Second Line :
City : ST CHARLES
State : IL
Zip : 60175-5143
Country : US
Telephone Number : 847-833-6468
Fax Number :
Provider Business Practice Location Address
First Line : 1121 E MAIN ST STE 320
Second Line :
City : ST CHARLES
State : IL
Zip : 60174-2276
Country : US
Telephone Number : 847-833-6468
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2011
Last Update Date : 02/14/2011

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Directions to “ DR. JESSE SEKEY PSYD.” Practice Location

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