Individual
DR. JOHN E. DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3420 ILLINOIS ST, REU, BUILDING 1007, GREAT LAKES, IL 60088-3120
(847) 688-7406
Mailing address
3420 ILLINOIS ST, REU, BUILDING 1007, GREAT LAKES, IL 60088-3120
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
IL
103TC0700X
Clinical Psychologist
Primary
830-057
WI
Other
Enumeration date
12/05/2005
Last updated
11/02/2007
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