Organization
JOSEPH N. O'DONNELL & ASSOCIATES INC
Active
Organization
JOSEPH N. O'DONNELL & ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH N. O'DONNELL PH.D. (PRESIDENT)
(847) 298-6446
Entity
Organization
Contact information
Practice address
1443 W SCHAUMBURG RD, 22E, SCHAUMBURG, IL 60194-4065
(847) 298-6446
(847) 298-6447
Mailing address
1443 W SCHAUMBURG RD, 22E, SCHAUMBURG, IL 60194-4065
(847) 298-6446
(847) 298-6447
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071001830
IL
103TC0700X
Clinical Psychologist
071001830
IL
103TR0400X
Rehabilitation Psychologist
071001830
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001673146
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
08/22/2007
Last updated
03/18/2009
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