Organization
ANNE CHODZKO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNE CHODZKO PHD (CLINICAL PSYCHOLOGIST)
(847) 433-0810
Entity
Organization
Contact information
Practice address
636 CHURCH ST, SUITE 701, EVANSTON, IL 60201-4508
(847) 926-9487
Mailing address
991 DEERFIELD RD, HIGHLAND PARK, IL 60035-3569
(847) 433-0810
(773) 751-2250
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00276349
RAILROAD MEDICARE
IL
Enumeration date
03/05/2007
Last updated
12/07/2007
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