Individual
DR. ADINA BAYUK KEESOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
307 N MICHIGAN AVE, SUITE 914, CHICAGO, IL 60601-5311
(312) 701-0911
(847) 869-2321
Mailing address
307 N MICHIGAN AVE, SUITE 914, CHICAGO, IL 60601-5311
(312) 701-0911
(847) 869-2321
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-005270
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1607867
BCBSI
IL
Enumeration date
05/03/2008
Last updated
05/03/2008
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