Individual
DR. JORDANA GAIL BINSTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., ATR
Contact information
Practice address
990 GROVE ST, SUITE 510, EVANSTON, IL 60201-6510
(773) 610-1402
Mailing address
990 GROVE ST, SUITE 510, EVANSTON, IL 60201-6510
(773) 610-1402
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006767
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001634672
BCBSIL PROVIDER ID NUMBER
IL
Enumeration date
07/31/2006
Last updated
06/12/2008
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