Individual
EDWARD K MCGARRIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071004749
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05619771
—
IL
Enumeration date
07/19/2005
Last updated
07/05/2012
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