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Contact Information

JOHN HARDIE PHD CLINICAL PSYCHOLOGIST LLC
85 REVERE DR STE G
NORTHBROOK, IL60062-8001
 Phone: 847-559-9343
 Fax: 773-913-2395
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JOHN HARDIE PHD CLINICAL PSYCHOLOGIST LLC

NPI # 1629649157
LBN Legal business name JOHN HARDIE PHD CLINICAL PSYCHOLOGIST LLC
Authorized official YESENIA SERVIN - (CREDENTIALING MANANGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/06/2021
Last updated 07/06/2021 - About 5 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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