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Individual

DR. ALEXANDER MYLONAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
1400 RENAISSANCE DR STE 401, PARK RIDGE, IL 60068
(312) 715-7804
Mailing address
1400 RENAISSANCE DR STE 401, PARK RIDGE, IL 60068-1337
(516) 770-1591

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071009789
IL

Other

Enumeration date
11/30/2016
Last updated
05/21/2018
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