Organization
PRO PSYCH ASSOCIATES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OK RO HONG M.D. (PRESIDENT)
(847) 544-5102
Entity
Organization
Contact information
Practice address
2604 DEMPSTER ST, SUITE 307, PARK RIDGE, IL 60068-8412
(847) 544-5102
(847) 544-5103
Mailing address
2604 DEMPSTER ST, SUITE 307, PARK RIDGE, IL 60068-8412
(847) 544-5102
(847) 544-5103
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071-006314
IL
103TC0700X
Clinical Psychologist
071-006486
IL
2084P0800X
Psychiatry Physician
Primary
036-073905
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632426
BLUE CROSS
IL
Enumeration date
01/08/2007
Last updated
07/09/2012
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