Organization
PSYCHOLOGY SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KAHWAJI PSYD (PRESIDENT)
(309) 706-3190
Entity
Organization
Contact information
Practice address
350 S NORTHWEST HWY, PARK RIDGE, IL 60068-4216
(309) 706-3190
(309) 588-4115
Mailing address
350 S NORTHWEST HWY, PARK RIDGE, IL 60068-4216
(309) 706-3190
(309) 588-4115
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071008742
IL
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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