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Organization

PEDIATRIC CONSULTATION CENTER AND ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHARON JOHNSON PHD (OWNER)
(847) 657-9885
Entity
Organization

Contact information

Practice address
3633 W LAKE AVE, SUITE 406, GLENVIEW, IL 60026-5805
(847) 657-9885
Mailing address
3633 W LAKE AVE, SUITE 406, GLENVIEW, IL 60026-5805
(847) 657-9885

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071006756
IL

Other

Enumeration date
02/03/2016
Last updated
02/03/2016
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