Organization
JOANN K. NISHIMOTO, PSYD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOANN K NISHIMOTO PSYD (OWNER/PSYCHOLOGIST)
(847) 337-7892
Entity
Organization
Contact information
Practice address
510 N LAKE ST STE 3, MUNDELEIN, IL 60060-1800
(847) 337-7892
Mailing address
510 N LAKE ST STE 3, MUNDELEIN, IL 60060-1800
(847) 337-7892
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006907
IL
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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