| Glen Lake Psychological Services, Ltd | |
|
1701 E Lake Ave Suite #370 Glenview IL 60025-2065 | |
| (847) 657-9600 | |
| (847) 998-8042 |
| Full Name | Glen Lake Psychological Services, Ltd |
|---|---|
| Speciality | Psychologist |
| Location | 1701 E Lake Ave, Glenview, Illinois |
| Authorized Official Name and Position | James Fruehling (OWNER) |
| Authorized Official Contact | 8476700880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glen Lake Psychological Services, Ltd 1701 E Lake Ave Suite #370 Glenview IL 60025-2065 Ph: (847) 657-9600 | Glen Lake Psychological Services, Ltd 1701 E Lake Ave Suite #370 Glenview IL 60025-2065 Ph: (847) 657-9600 |
| NPI Number | 1104271162 |
|---|---|
| Provider Enumeration Date | 04/27/2016 |
| Last Update Date | 05/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104271162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 071001664 (Illinois) | Primary |
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