Individual
MICHAEL J. PINKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1321 MAYFAIR LN, GRAYSLAKE, IL 60030-3770
(847) 752-8204
Mailing address
1321 MAYFAIR LN, GRAYSLAKE, IL 60030-3770
(847) 752-8204
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
20041050
IN
103TC0700X
Clinical Psychologist
Primary
20041050
IN
Other
Enumeration date
02/16/2009
Last updated
03/29/2021
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