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Organization

AFFILIATED CLINICAL PSYCHOLOGISTS LIMITED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AIMEE HARRIS-NEWON PSY.D (OWNER)
(630) 980-1400
Entity
Organization

Contact information

Practice address
1 TIFFANY PT, SUITE 111, BLOOMINGDALE, IL 60108-2936
(630) 980-1400
(630) 980-1441
Mailing address
1 TIFFANY PT, SUITE 111, BLOOMINGDALE, IL 60108-2936
(630) 980-1400
(630) 980-1441

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02227626
BLUE CROSS
IL
01
215819
MEDICARE GRP #
IL
Enumeration date
09/24/2007
Last updated
01/11/2008
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