Individual
DR. FRANK J MACCHITELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
120 OAKBROOK CTR, SUITE 628, OAK BROOK, IL 60523-1806
(630) 572-0100
Mailing address
402 N WESLEY DR, ADDISON, IL 60101-2132
(630) 543-0532
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001673072BCBS
BCBS PROVIDER NUMBER
IL
Enumeration date
03/13/2007
Last updated
07/08/2007
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