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Individual

DR. DAVID LEE DASKOVSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1560 SHERMAN AVE., SUITE 400, EVANSTON, IL 60201-4803
(847) 869-1500
(847) 869-1515
Mailing address
1560 SHERMAN AVE., SUITE 400, EVANSTON, IL 60201-4803
(847) 869-1500
(847) 869-1515

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071-004135
IL
103TC0700X
Clinical Psychologist
Primary
071004135
IL

Other

Enumeration date
08/31/2006
Last updated
12/26/2012
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