Individual
DR. JERRY S SCHECTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
9150 CRAWFORD AVE, #105, SKOKIE, IL 60076-1700
(847) 679-5243
(847) 753-9592
Mailing address
4532 S SEMINOLE DR, GLENVIEW, IL 60026-7306
(847) 679-5243
(847) 753-9592
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
103TS0200X
School Psychologist
1031731
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001672907
BLUE CROSS BLUE SHIELD
ID
01
—
1031731
SCHOOL TYPE 73 CERT.
ID
Enumeration date
02/14/2006
Last updated
11/14/2007
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