Individual
DR. KERSEY H ANTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
17716 OAK PARK AVE, TINLEY PARK, IL 60477-3936
(708) 460-6060
(708) 460-6060
Mailing address
8318 138TH PL, ORLAND PARK, IL 60462-1746
(708) 460-6060
(708) 460-6060
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
12/13/2005
Last updated
07/08/2007
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