Individual
DR. PAUL C KREDOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
400 SKOKIE BLVD STE 245, NORTHBROOK, IL 60062-7932
(847) 446-4617
(847) 446-4673
Mailing address
400 SKOKIE BLVD STE 245, NORTHBROOK, IL 60062-7932
(847) 446-4617
(847) 446-4673
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-004395
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093030132
TYPE 2 NPI
IL
Enumeration date
08/07/2006
Last updated
10/30/2022
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