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Individual

DR. CAROL A MCDONOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1551 HUNTINGTON DR, CALUMET CITY, IL 60409-5440
(708) 732-8024
(708) 827-5068
Mailing address
13000 S SHAWNEE RD, PALOS HEIGHTS, IL 60463-2035
(708) 732-8024
(708) 827-5068

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
07100559
IL
103TR0400X
Rehabilitation Psychologist
Primary
071002559
IL

Other

Enumeration date
06/21/2006
Last updated
11/30/2011
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