Individual
DR. KEVIN PATRICK MCCLONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
9701 NORTH KNOX, SUITE 214, SKOKIE, IL 60076
(847) 920-0227
(847) 920-0227
Mailing address
1421 MAPLE AVE, WILMETTE, IL 60091-2564
(847) 920-0227
(847) 920-0227
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01625593
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/25/2006
Last updated
07/08/2007
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