Organization
NEWSOME & ASSOCIATES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLENE E NEWSOME (PRESIDENT)
(708) 460-1212
Entity
Organization
Contact information
Practice address
200 RAVINIA PL, ORLAND PARK, IL 60462-3755
(708) 460-1212
(708) 460-8396
Mailing address
200 RAVINIA PL, ORLAND PARK, IL 60462-3755
(708) 460-1212
(708) 460-8396
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01672811
BLUECROSS PROVIDER NUMBER
IL
Enumeration date
05/08/2007
Last updated
08/22/2020
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