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Individual

DR. LOUIS DVORKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1440 RENAISSANCE DR, 320, PARK RIDGE, IL 60068-1356
(847) 759-9110
(847) 759-9440
Mailing address
1440 RENAISSANCE DR, 320, PARK RIDGE, IL 60068-1356
(847) 759-9110
(847) 759-9440

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071.008864
IL
103G00000X
Clinical Neuropsychologist
6301003853
MI

Other

Enumeration date
05/23/2007
Last updated
10/30/2020
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