Organization
MIDWEST CONSULTANTS FOR COGNITIVE MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY FREEZE (PRACTICE CONSULTANT)
(219) 926-8320
Entity
Organization
Contact information
Practice address
310 S GREENLEAF ST STE 205, GURNEE, IL 60031-5708
(847) 282-4421
Mailing address
PO BOX 2257, CHESTERTON, IN 46304-0357
(219) 926-8320
(219) 926-3524
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071007105
IL
Other
Enumeration date
08/03/2010
Last updated
04/21/2015
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