Organization
ASSOCIATES FOR EDUCATIONAL AND PSYCHOLOGICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES NICHOLAS PISTORIO PH.D. (PSYCHOLOGIST)
(847) 924-3951
Entity
Organization
Contact information
Practice address
1701 E LAKE AVE, SUITE 165, GLENVIEW, IL 60025-2065
(847) 924-3951
(847) 998-6499
Mailing address
1701 E LAKE AVE, SUITE 165, GLENVIEW, IL 60025-2065
(847) 924-3951
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071004038
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922253848
NPI
IL
Enumeration date
09/23/2009
Last updated
09/23/2009
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