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Contact Information

CAROL A MCDONOUGH, PhD
1551 HUNTINGTON DR
CALUMET CITY, IL60409-5440
 Phone: 708-732-8024
 Fax: 708-827-5068
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

103TR0400X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
Indicates primary specialty

NPI Profile & details for CAROL A MCDONOUGH · (Female)

NPI Number 1194761759
Status Active
Credentials PhD
Entity Individual
Enumeration date 06/21/2006
Last updated 11/30/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 071002559
  • IL License # 07100559
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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