Individual
EDWARD LAWRENCE MAHONEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
9550 W. 167TH ST., ORLAND PARK, IL 60467
(708) 873-4500
Mailing address
20110 GOVERNORS HWY., OLYMPIA FIELDS, IL 60461
(708) 747-7960
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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