Individual
DR. TONYA MARIE MESTEMAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
900 N SHORE DR, SUITE 174, LAKE BLUFF, IL 60044-2243
(773) 383-7700
(847) 615-1697
Mailing address
4443 N ALBANY AVE, CHICAGO, IL 60625-4501
(773) 383-7700
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04932470
BCBS PROVIDER NUMBER
IL
Enumeration date
10/12/2006
Last updated
07/08/2007
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