Individual
DR. HARRY KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
77 N AIRLITE ST, PROVENA ST JOSEPH HOSPITAL, ELGIN, IL 60123-4912
(847) 695-3200
Mailing address
3501 N SOUTHPORT AVE, SUITE 272, CHICAGO, IL 60657
(773) 398-2415
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05S32067
BCBS
IL
Enumeration date
08/22/2006
Last updated
07/08/2007
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