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Organization

HINSDALE PSYCHOLOGICAL RESOURCES, LTD.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA J. ANDRISE PH.D. (OWNER)
(630) 850-9650
Entity
Organization

Contact information

Practice address
333 CHESTNUT ST, STE 206, HINSDALE, IL 60521-3247
(630) 850-9650
(630) 850-9607
Mailing address
333 CHESTNUT ST, STE 206, HINSDALE, IL 60521-3247
(630) 850-9650
(630) 850-9607

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
IL
103G00000X
Clinical Neuropsychologist
IL
103T00000X
Psychologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2205358
BCBS
IL
Enumeration date
11/09/2005
Last updated
11/15/2007
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