Individual
DR. JOSEPH NEIL O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1443 W. SCHAUMBURG ROAD, 22E, SCHAUMBURG, IL 60194
(847) 891-9190
Mailing address
304 S. WA PELLA AVE, MOUNT PROSPECT, IL 60056
(847) 394-0777
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071-001830
IL
103TC0700X
Clinical Psychologist
071-001830
IL
103TR0400X
Rehabilitation Psychologist
071-001830
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001673146
BLUE CROSS BLUE SHIELD
IL
Enumeration date
02/12/2007
Last updated
03/18/2009
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