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Contact Information

SHARED VISION PSYCHOLOGICAL SERVICES
1200 HARGER RD
#600
OAK BROOK, IL60523
 Phone: 630-571-5750
 Fax: 630-571-5751
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for SHARED VISION PSYCHOLOGICAL SERVICES

NPI Number 1275738130
LBN Legal business name SHARED VISION PSYCHOLOGICAL SERVICES
Authorized official MYRA LAWRENCE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/19/2007
Last updated 02/25/2013 - About 13 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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