Individual
JOSEPH CHARLES MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2430 MILLBROOK DR, ALGONQUIN, IL 60102-1403
(847) 602-8110
Mailing address
2430 MILLBROOK DR APT 202, ALGONQUIN, IL 60102-1405
(847) 602-8110
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
10TR0400X
IL
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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