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Individual

DR. JOHN B. HOUCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
3633 BREAKERS DR APT 329, OLYMPIA FIELDS, IL 60461-1063
(773) 493-1330
(707) 549-4532
Mailing address
3633 BREAKERS DR APT 329, OLYMPIA FIELDS, IL 60461-1063
(773) 493-1330

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
071001927
IL
103TC0700X
Clinical Psychologist
071001927
IL
174400000X
Specialist
Primary
071-001927
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
071-001927
CLINICAL PSYCHOLOGIST LIC
IL
Enumeration date
08/23/2005
Last updated
07/16/2020
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