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Individual

DR. JOHN EDWARD NOTO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
8311 ROOSEVELT RD, SUITE 100, FOREST PARK, IL 60130-2529
(708) 366-5555
Mailing address
3304 N BROADWAY ST, SUITE 170, CHICAGO, IL 60657-3517
(224) 715-4542

Taxonomy

Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
IL
103TC0700X
Clinical Psychologist
Primary
IL
103TC2200X
Clinical Child & Adolescent Psychologist
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0617100620
BLUE SHIELD ID
IL
Enumeration date
07/11/2006
Last updated
07/10/2007
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