Organization
NORTH SUBURBAN PSYCHOLOGICAL ASSOCIATES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELLEY R BUNTMAN PH.D. (VICE PRESIDENT)
(847) 835-1770
Entity
Organization
Contact information
Practice address
630 VERNON AVE, SUITE G, GLENCOE, IL 60022-1681
(847) 835-1770
(847) 835-5358
Mailing address
630 VERNON, SUITE G, GLENCOE, IL 60022
(847) 835-1770
(847) 835-5358
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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