Individual
DR. IVONNE HERAS HOBFOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1653 W CONGRESS PARKWAY, RUSH UNIVERSITY MEDICAL CENTER-DEPT. BEHAVIORAL SCIENCE, CHICAGO, IL 60612-3244
(312) 942-5932
(312) 942-4990
Mailing address
1653 W CONGRESS PARKWAY, RUSH UNIVERSITY MEDICAL CENTER-DEPT. BEHAVIORAL SCIENCE, CHICAGO, IL 60612-3244
(312) 942-5932
(312) 942-4990
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071003526
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4130254
AETNA
—
01
—
R03903
SUMMA
—
Enumeration date
08/21/2006
Last updated
06/27/2011
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