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Contact Information

NEUROREHAB PSYCHOLOGY CONSULTANTS, LLC
419 CENTER ST STE C
GRAYSLAKE, IL60030-1645
 Phone: 262-412-7302
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for NEUROREHAB PSYCHOLOGY CONSULTANTS, LLC

NPI Number 1245742865
LBN Legal business name NEUROREHAB PSYCHOLOGY CONSULTANTS, LLC
Authorized official DANIELLE CICCONE-COUTRE - (CLINICAL PSYCHOLOGIST/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/05/2017
Last updated 04/26/2018 - About 8 years ago
Identifiers
IL License # 071.009251
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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