Individual
BERNARD P CHAPIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SCHOOL PSYCHOLOGIST
Contact information
Practice address
6820 S WASHTENAW AVE, CHICAGO, IL 60629-1826
(773) 548-8705
Mailing address
1500 E 33RD AVE, HOBART, IN 46342-1210
(773) 972-9952
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
542289
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
542289
ILLINOIS ELIS LICENCE NUMBER
IL
Enumeration date
10/22/2019
Last updated
10/22/2019
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