Individual
DR. RAQUEL NOWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
9631 W 153RD ST STE 38, ORLAND PARK, IL 60462-3778
(773) 888-2586
Mailing address
5659 S KOLIN AVE, CHICAGO, IL 60629-4838
(773) 888-2586
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071.009820
IL
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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