Individual
LOAY J SANDOUKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
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
071007931
IL
Other
Enumeration date
07/28/2011
Last updated
07/28/2011
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