Individual
DR. ANTHONY THOMAS VESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
225 E CHICAGO AVE # 10A, CHICAGO, IL 60611-2991
(312) 227-0824
(312) 227-9659
Mailing address
225 E CHICAGO AVE # 10A, CHICAGO, IL 60611-2991
(312) 227-0824
(312) 227-9659
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2846675
—
OH
Enumeration date
09/10/2012
Last updated
04/26/2018
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