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Organization

GLEN LAKE PSYCHOLOGICAL SERVICES, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES FRUEHLING PHD (OWNER)
(847) 670-0880
Entity
Organization

Contact information

Practice address
1701 E LAKE AVE, SUITE #370, GLENVIEW, IL 60025-2065
(847) 657-9600
(847) 998-8042
Mailing address
1701 E LAKE AVE, SUITE #370, GLENVIEW, IL 60025-2065
(847) 657-9600
(847) 998-8042

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071001664
IL

Other

Enumeration date
04/27/2016
Last updated
05/02/2016
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