Organization
CONSULTING & CLINICAL PSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD P HOREVITZ PHD (OWNER)
(847) 776-0404
Entity
Organization
Contact information
Practice address
458 WINNETKA AVE, #204, WINNETKA, IL 60093-4266
(847) 446-0404
Mailing address
454 WINNETKA AVE, #204, WINNETKA, IL 60093
(847) 446-0404
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
71006214
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632515
BC/BS
IL
Enumeration date
09/21/2006
Last updated
08/22/2020
Update your record
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