Organization
MICHAEL R BINDER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R BINDER M.D. (OWNER)
(262) 691-2581
Entity
Organization
Contact information
Practice address
767 PARK AVE W, SUITE 210, HIGHLAND PARK, IL 60035-2400
(262) 691-2581
Mailing address
767 PARK AVE W, SUITE 210, HIGHLAND PARK, IL 60035-2400
(262) 691-2581
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
036-96922
IL
103T00000X
Psychologist
30357-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31798800
—
WI
Enumeration date
03/06/2007
Last updated
08/22/2020
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