Organization
AIM PSYCHOLOGICAL SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA SCHULTZ PSY.D (PYCHOLOGIST)
(312) 802-1956
Entity
Organization
Contact information
Practice address
13 FAIRLANE DR, JOLIET, IL 60435-6483
(312) 802-1956
(815) 730-1147
Mailing address
13 FAIRLANE DR, JOLIET, IL 60435-6483
(312) 802-1956
(815) 730-1147
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
653160
MEDICARE ID TYPE UNSPECIFIED PART B
IL
Enumeration date
02/23/2011
Last updated
02/23/2011
Update your record
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