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Organization

IRINA PODOLSKY PSYD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IRINA PODOLSKY PSYD (OWNER)
(312) 320-5137
Entity
Organization

Contact information

Practice address
1623 W MAIN ST, FAIRFIELD, IL 62837-2343
(312) 320-5137
Mailing address
PO BOX 278, FAIRFIELD, IL 62837-0278

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
073.000074
IL

Other

Enumeration date
11/28/2017
Last updated
11/13/2018
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