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Organization

PRIMARY CARE PSYCHOLOGY ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL C. KREDOW PSY.D. (EXECUTIVE DIRECTOR)
(847) 686-0090
Entity
Organization

Contact information

Practice address
465 CENTRAL AVE, SUITE 201, NORTHFIELD, IL 60093-3045
(847) 686-0090
(847) 686-0090
Mailing address
465 CENTRAL AVE, SUITE 201, NORTHFIELD, IL 60093-3045
(847) 686-0090
(847) 686-0090

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
071008525
IL

Other

Enumeration date
09/13/2013
Last updated
09/13/2013
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