Individual
NANCY MACHONKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
210 N MAIN ST, WHEATON, IL 60187-5358
(630) 752-9725
Mailing address
PO BOX 239, WINFIELD, IL 60190-0239
(630) 752-9725
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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