Individual
MICHAEL JAMES ATHANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
32 MAIN ST, SUITE D, PARK RIDGE, IL 60068-4060
(847) 823-4444
(847) 823-4456
Mailing address
32 MAIN ST, SUITE D, PARK RIDGE, IL 60068-4060
(847) 823-4444
(847) 823-4456
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0713398
IL
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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