Organization
WELLQOR PSYCHOLOGICAL SERVICES OF ILLINOIS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DENNIS MCTAGUE (OWNER)
(516) 987-4200
Entity
Organization
Contact information
Practice address
1100 COUGAR TRL, CARY, IL 60013-6057
(516) 987-4200
Mailing address
1100 COUGAR TRL, CARY, IL 60013-6057
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/15/2017
Last updated
06/08/2020
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