Organization
MARIA NUCCI, PHD, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA NUCCI PHD (PRESIDENT)
(630) 571-5716
Entity
Organization
Contact information
Practice address
210 W 22ND ST, STE 119, OAK BROOK, IL 60523-1544
(630) 571-5716
Mailing address
PO BOX 388320, CHICAGO, IL 60638-8320
(773) 767-4600
(773) 767-8320
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002273037
BLUE SHIELD
IL
Enumeration date
07/21/2006
Last updated
12/03/2007
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