Organization
DIRKSEN CENTER FOR NEUROPSYCHOLOGY, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY FREEZE (PRACTICE MANAGER)
(219) 926-8320
Entity
Organization
Contact information
Practice address
855 E GOLF RD, SUITE 1127, ARLINGTON HEIGHTS, IL 60005-5222
(847) 347-9288
Mailing address
PO BOX 45, PORTAGE, IN 46368-0045
(219) 926-8320
(219) 926-3524
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
02/23/2009
Last updated
03/05/2010
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