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NPI Code Detail

MEDICARE: DR. JO-ANN FINKELSTEIN PHD

MEDICARE: DR. JO-ANN FINKELSTEIN 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 Psychologist071-006455IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101633477OTHERILBLUE CROSSBLUE SHIELD IL

General Provider Information

NPI Number : 1962526871
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JO-ANN FINKELSTEIN PHD
Provider Business Mailing Address
First Line : 230 E OHIO ST
Second Line : SUITE 405
City : CHICAGO
State : IL
Zip : 60611-3265
Country : US
Telephone Number : 312-804-9497
Fax Number :
Provider Business Practice Location Address
First Line : 625 N MICHIGAN AVE
Second Line : SUITE 1715
City : CHICAGO
State : IL
Zip : 60611-3110
Country : US
Telephone Number : 312-804-9497
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2007
Last Update Date : 04/22/2015

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