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Individual

DR. DEANNA LYN CONKLIN-DANAO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
7101 N CICERO AVE, SUITE 203, LINCOLNWOOD, IL 60712-2112
(312) 493-2628
(847) 983-4783
Mailing address
7101 N CICERO AVE, SUITE 203, LINCOLNWOOD, IL 60712-2112
(312) 493-2628
(847) 983-4783

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006438
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1636778
BCBS OF IL PPO PROVIDER
IL
Enumeration date
01/30/2007
Last updated
03/18/2013
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