Organization
MARVIN J PITLUK & ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN J PITLUK PHD (PRESIDENT)
(847) 446-1985
Entity
Organization
Contact information
Practice address
477 HAWTHORN LN, WINNETKA, IL 60093-4247
(847) 446-1985
Mailing address
477 HAWTHORN LN, WINNETKA, IL 60093-4247
(847) 446-1985
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
060000781
IL
103T00000X
Psychologist
071000272
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01672044
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/10/2006
Last updated
01/14/2010
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