Organization
THE PEDIATRIC CONSULTATION CENTER
Active
Organization
THE PEDIATRIC CONSULTATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY OKOON PH.D (PSYCHOLOGIST)
(847) 604-4815
Entity
Organization
Contact information
Practice address
3633 W LAKE AVE, SUITE 306, GLENVIEW, IL 60026-5805
(847) 604-4815
Mailing address
3633 WEST LAKE AVE, SUITE 306, GLENVIEW, IL 60025
(847) 604-4815
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
IL
Other
Enumeration date
12/18/2006
Last updated
08/22/2020
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