Individual
TERRENCE J NEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
970 MCHENRY AVE, CRYSTAL LAKE, IL 60014-7449
(815) 455-7100
(815) 455-3951
Mailing address
145 S VIRGINIA ST, CRYSTAL LAKE, IL 60014-7226
(815) 444-9999
(815) 986-1363
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071-003543
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05619771
BCBS
IL
Enumeration date
07/19/2005
Last updated
04/20/2016
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