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Individual

DR. MICHAEL HAKIMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
14 LAKE ST, OAK PARK, IL 60302-2606
(708) 383-0113
(708) 386-1391
Mailing address
14 LAKE ST, OAK PARK, IL 60302-2606
(708) 383-0113
(708) 386-1391

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071004412
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
071004412
IL
Enumeration date
07/02/2007
Last updated
06/16/2021
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