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Organization
WEST SUBURBAN PSYCHOLOGICAL SERVICES, LTD.
Active
Organization
WEST SUBURBAN PSYCHOLOGICAL SERVICES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL REST PH.D. (OWNER)
(630) 585-0039
Entity
Organization
Contact information
Practice address
1809 NORTH MILL STREET, SUITE G, NAPERVILLE, IL 60563
(630) 585-0039
(630) 585-1491
Mailing address
1809 NORTH MILL STREET, SUITE G, NAPERVILLE, IL 60563
(630) 585-0039
(630) 585-1491
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04522270
BCBS
IL
Enumeration date
03/15/2007
Last updated
01/20/2017
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