Individual
BRIAN JOSEPH PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2272 95TH ST STE 305, NAPERVILLE, IL 60564-8944
(630) 753-9800
Mailing address
4428 BICKFORD AVE, OSWEGO, IL 60543-8166
(708) 275-9132
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071.009220
IL
103TP0016X
Prescribing (Medical) Psychologist
Primary
074.000020
IL
Other
Enumeration date
02/01/2016
Last updated
02/04/2024
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