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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, PSY.D., P.C.

NPI # 1306045737
LBN Legal business name LISA A. DITCHEK, PSY.D., P.C.
Authorized official LISA DITCHEK - (PRESIDENT/CLINICAL PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 07/16/2007
Last updated 03/19/2015 - About 11 years ago
Identifiers
IL License # 071-005203
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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