Lisa Ann Ditchek is a Psychologist in Niles, Illinois. Lisa Ann Ditchek practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Lisa Ann Ditchek is 1548220866. The last update date is 2007-07-08.
Lisa Ann Ditchek's current location address is 241 Golf Mill Center, Niles, Illinois. You can contact this provider via phone number 8472975380 and fax number 8474809124. The mailing address for Lisa Ann Ditchek is 241 Golf Mill Center, Niles, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Ann Ditchek |
|---|---|
| Address | 241 Golf Mill Center, Niles, Illinois |
| Phone Number | 8472975380 |
| Fax Number | 8474809124 |
| Sole Proprietor | X |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1548220866 |
|---|---|
| Provider Enumeration Date | 2006-03-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 241 Golf Mill Center |
|---|---|
| City | Niles |
| State | Illinois (IL) |
| Post Code | 60714 |
| Phone Number | 8472975380 |
| Fax Number | 8474809124 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7495361 | IL | AETNA | |
| 1622646 | IL | BCBS OF IL |
Post Comment/ Review Below
What is the unique identifier code issued to Lisa Ann Ditchek by the Centers for Medicare & Medicaid Services?
The Lisa Ann Ditchek has been assigned the NPI (National Provider Identifier) 1548220866. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Lisa Ann Ditchek?
The Lisa Ann Ditchek is physically situated at 241 Golf Mill Center, in the city of Niles, state of IL, with the postal code 60714.
What is Lisa Ann Ditchek's area of expertise and its corresponding taxonomy classification?
The Lisa Ann Ditchek'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 the Centers for Medicare & Medicaid Services originally issue the 1548220866 to Lisa Ann Ditchek?
The Centers for Medicare & Medicaid Services originally issued the 1548220866 to Lisa Ann Ditchek on 2006-03-23.
When was the information pertaining to Lisa Ann Ditchek most recently updated or revised?
The details related to Lisa Ann Ditchek, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.