Organization
JON-PAUL CHAMPINE, PSY.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON-PAUL CHAMPINE PSYD (PRESIDENT)
(847) 869-4650
Entity
Organization
Contact information
Practice address
2530 CRAWFORD AVE, SUITE 315, EVANSTON, IL 60201-4970
(847) 869-4650
(773) 751-2250
Mailing address
2530 CRAWFORD AVE, SUITE 315, EVANSTON, IL 60201-4970
(847) 869-4650
(773) 751-2250
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006739
IL
Other
Enumeration date
03/26/2011
Last updated
03/26/2011
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