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NPI Code Detail

MEDICARE: DR. TOM ALCOCK PSYD, CADC

MEDICARE:  DR. TOM  ALCOCK  PSYD, CADC
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
1101YM0800XMental Health Counselor178007486IL
2103TC0700XClinical Psychologist071009038IL

General Provider Information

NPI Number : 1790051514
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TOM ALCOCK PSYD, CADC
Provider Business Mailing Address
First Line : 1845 E RAND RD STE L111
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-4375
Country : US
Telephone Number : 773-469-6675
Fax Number :
Provider Business Practice Location Address
First Line : 1845 E RAND RD STE 111
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-4359
Country : US
Telephone Number : 773-469-6675
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2012
Last Update Date : 09/08/2022

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