Organization
NORTH SHORE PSYCHOLOGICAL SERVICES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL D MAHONEY PHD (PARTNER)
(847) 295-0340
Entity
Organization
Contact information
Practice address
900 NORTH SHORE DR, SUITE 200, LAKE BLUFF, IL 60044-2243
(847) 295-0340
(847) 295-0351
Mailing address
PO BOX 2257, CHESTERTON, IN 46304-0357
(219) 926-8320
(219) 926-3524
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071003138
IL
Other
Enumeration date
02/26/2007
Last updated
01/20/2015
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