Individual
DR. CAROLE R PROEBSTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
20756 MEADOW LN, DEER PARK, IL 60010-3674
(847) 381-3531
(847) 381-7886
Mailing address
20756 MEADOW LN, DEER PARK, IL 60010-3674
(847) 381-3531
(847) 381-7886
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004920259
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/29/2007
Last updated
07/08/2007
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