Individual
DR. TIMOTHY R. BUHRT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1120 E MAIN ST STE 201, ST CHARLES, IL 60174-2287
(630) 377-6613
(630) 377-6225
Mailing address
1120 E MAIN ST, STE. 201, ST CHARLES, IL 60174-2287
(630) 377-6613
(630) 377-6225
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071005828
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
364333972
TAX IDENTIFICATION NUMBER
IL
Enumeration date
09/22/2005
Last updated
03/04/2024
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