Individual
DR. THOMAS MARK HARWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
28W641 INDIAN KNOLL RD, WEST CHICAGO, IL 60185-1705
(630) 520-0685
(630) 520-0685
Mailing address
28W641 INDIAN KNOLL RD, WEST CHICAGO, IL 60185-1705
(630) 520-0685
(630) 520-0685
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.007550
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12037089
UNIVERSAL PROVIDER DATA SOURCE
IL
Enumeration date
02/15/2010
Last updated
07/29/2011
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