Organization
PROACTIVE BEHAVIORAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD R. LENDVAY PSYD (PRESIDENT/OWNER)
(847) 778-4500
Entity
Organization
Contact information
Practice address
1644 W. COLONIAL PKWY., INVERNESS, IL 60067-1207
(847) 776-4500
(847) 776-4724
Mailing address
1644 W. COLONIAL PKWY., INVERNESS, IL 60067-1207
(847) 776-4500
(847) 776-4724
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071--007171
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04932629
BLUE CROSS
—
Enumeration date
04/19/2007
Last updated
05/06/2011
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