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Contact Information

LISA A. DITCHEK, PSY.D., P.C.
1580 N NORTHWEST HWY
116 A
PARK RIDGE, IL60068-1444
 Phone: 847-390-0800
 Fax: 847-390-0802
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LISA A DITCHEK PSYD PC · (Female)

NPI # 1306045737
Status Active
Credentials
Entity Individual
Enumeration date 07/16/2007
Last updated 03/19/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 071-005203
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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