Individual
DR. BRIGHT FELLOWES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
201 E PARK ST, UNIT B, MUNDELEIN, IL 60060-1973
(847) 566-0164
(847) 566-0375
Mailing address
PO BOX 909, LAKE FOREST, IL 60045-0909
(847) 566-0164
(847) 566-0375
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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