Organization
COUNSELING AND DIAGNOSTIC CENTER OF WOODFIELD, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R. JEZL PSY.D. (EXECUTIVE DIRECTOR)
(847) 884-0210
Entity
Organization
Contact information
Practice address
1325 WILEY ROAD, SUITE 165, SCHAUMBURG, IL 60173
(847) 884-0210
(847) 884-7349
Mailing address
1325 WILEY ROAD, SUITE 165, SCHAUMBURG, IL 60173
(847) 884-0210
(847) 884-7349
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
12/18/2006
Last updated
02/26/2015
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