Individual
DR. JUDITH FLAXMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2530 CRAWFORD AVE, SUITE 118, EVANSTON, IL 60201-4970
(847) 864-2723
(847) 869-6028
Mailing address
2310 GRANT ST, EVANSTON, IL 60201-2109
(847) 864-2723
(847) 869-6028
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1672639
BCBSIL PROVIDER NUMBER
IL
Enumeration date
12/27/2006
Last updated
07/08/2007
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