Individual
DR. MICHAEL A NAGELBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PYS.D.
Contact information
Practice address
1604 CHICAGO AVE, EVANSTON, IL 60201-6017
(847) 864-7583
(847) 864-9189
Mailing address
1604 CHICAGO AVE, EVANSTON, IL 60201-6017
(847) 864-7583
(847) 864-9189
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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