Individual
JOEL DANIEL CARNAZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
550 FOX GLEN CT, BARRINGTON, IL 60010-1833
(847) 381-5001
(847) 381-5059
Mailing address
550 FOX GLEN CT, BARRINGTON, IL 60010-1833
(847) 381-5001
(847) 381-5059
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
71006420
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1632761
BCBS PROVIDER #
IL
Enumeration date
08/17/2006
Last updated
10/30/2020
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