Individual
DR. EDWARD J KLUTCHARCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
6502 JOLIET RD, COUNTRYSIDE, IL 60525-4682
(708) 608-1167
Mailing address
8624 WHEELER DR, ORLAND PARK, IL 60462-4704
(708) 608-1167
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008553
IL
Other
Enumeration date
03/19/2013
Last updated
07/19/2022
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