Organization
FAAN YEEN SIDOR, PSY.D. LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAAN YEEN SIDOR PSY.D. (PRESIDENT)
(847) 431-1722
Entity
Organization
Contact information
Practice address
175 OLDE HALF DAY RD STE 100-7, LINCOLNSHIRE, IL 60069-3062
(847) 431-1722
Mailing address
755 GREENVIEW PL, LAKE FOREST, IL 60045-3222
(847) 431-1722
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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