Individual
DICKIE KAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
444 N NORTHWEST HWY STE 170, PARK RIDGE, IL 60068-6402
(847) 692-7101
(847) 692-7126
Mailing address
444 N NORTHWEST HWY STE 170, PARK RIDGE, IL 60068-6402
(847) 692-7101
(847) 692-7126
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001615772
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
09/27/2006
Last updated
07/08/2007
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