Individual
DR. MARY ANGELA YERKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
11900 SOUTHWEST HWY STE 202, PALOS PARK, IL 60464-1200
(708) 986-5168
(844) 464-0739
Mailing address
11900 SOUTHWEST HWY STE 202, PALOS PARK, IL 60464-1200
(708) 986-5168
(844) 464-0739
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071004207
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635445
BLUE CROSS PIN
IL
Enumeration date
08/24/2005
Last updated
11/28/2022
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