Individual
DYLAN PANUSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1220 HOBSON RD, STE 104, NAPERVILLE, IL 60540-8139
(630) 646-8000
(630) 646-8007
Mailing address
27555 DIEHL RD, ENTRANCE B, WARRENVILLE, IL 60555-3849
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008788
IL
Other
Enumeration date
08/21/2014
Last updated
04/13/2021
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