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Individual

DR. PHILLIP LOREN ZEDIKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH D

Contact information

Practice address
525 E NORTH ST STE B, BRADLEY, IL 60915-1186
(815) 933-0667
(815) 933-0665
Mailing address
525 E NORTH ST STE B, BRADLEY, IL 60915-1186
(815) 933-0667
(815) 933-0665

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071001596
IL

Other

Enumeration date
08/31/2006
Last updated
02/27/2013
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