Organization
PARKSIDE PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL SMILEY PSYD, ABPP (CLINICAL PSYCHOLOGIST)
(847) 420-5088
Entity
Organization
Contact information
Practice address
840 S WAUKEGAN RD STE 203, LAKE FOREST, IL 60045-2619
(847) 420-5088
Mailing address
840 S WAUKEGAN RD STE 203, LAKE FOREST, IL 60045-2619
(847) 420-5088
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.007555
IL
Other
Enumeration date
12/14/2015
Last updated
06/07/2021
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