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Individual

THOMAS J SCHEVERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
4405 THREE OAKS ROAD, UNIT B, CRYSTAL LAKE, IL 60014
(815) 444-0446
(815) 444-0446
Mailing address
1100 COUGAR TRL, CARY, IL 60013-6057
(815) 444-0446
(815) 444-0446

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05619771
BCBS
IL
Enumeration date
07/20/2005
Last updated
07/08/2007
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