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Individual

DR. N KAREN THAMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
1440 RENAISSANCE DR STE 320, PARK RIDGE, IL 60068-1471
(847) 759-9110
Mailing address
1440 RENAISSANCE DR STE 320, PARK RIDGE, IL 60068-1471
(847) 759-9110

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
071-007305
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1633897
BCBS PROVIDER NUMBER
IL
Enumeration date
11/08/2006
Last updated
02/01/2023
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