Individual
ALAN P CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., PSY.D.
Contact information
Practice address
9760 S ROBERTS RD FL 2, PALOS HILLS, IL 60465-1686
(708) 422-2772
(773) 685-6744
Mailing address
5920 SAUGANASH LANE, CHICAGO, IL 60646
(708) 422-2772
(773) 685-6744
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.004644
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205903697
GROUP NPI DR. ALAN P. CHILDS AND ASSOCIATES
IL
Enumeration date
01/25/2012
Last updated
01/25/2012
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