Andrea Fink in Chicago - Psychologist

Andrea Fink - NPI 1255330130

Andrea Fink is a Psychologist in Chicago, Illinois. Andrea Fink practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Andrea Fink is 1255330130. The last update date is 2007-12-31.

Andrea Fink's current location address is 1643 N Wolcott Ave, Chicago, Illinois. You can contact this provider via phone number 7732929266 and fax number 7732920639. The mailing address for Andrea Fink is 1643 N Wolcott Ave, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Andrea Fink
Address 1643 N Wolcott Ave, Chicago, Illinois
Phone Number 7732929266
Fax Number 7732920639
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1255330130
Provider Enumeration Date 2005-07-21
Last Updated Date 2007-12-31

Provider Mailing Address Detail

Address 1643 N Wolcott Ave
City Chicago
State Illinois (IL)
Post Code 606221323
Phone Number 7732929266
Fax Number 7732920639

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 71003453
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1673445 IL BLUE CROSS BLUE SHIELD

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FAQs about Andrea Fink

What is the unique identifier code issued to Andrea Fink by the Centers for Medicare & Medicaid Services (CMS)?

The Andrea Fink has been assigned the NPI (National Provider Identifier) 1255330130. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Andrea Fink is physically located?

The Andrea Fink is situated at the following address: 1643 N Wolcott Ave, Chicago, IL 606221323.

What is Andrea Fink's area of expertise and its corresponding taxonomy classification?

The Andrea Fink's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.

On what date did Andrea Fink receive its 1255330130 assignment from the Centers for Medicare & Medicaid Services?

The Andrea Fink was assigned its 1255330130 on 2005-07-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Andrea Fink most recently updated or revised?

The information pertaining to Andrea Fink, including its address, specialty, and other relevant details, was last updated or revised on 2007-12-31.

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