Jack Hungerford is a Clinical in Evanston, Illinois. Jack Hungerford practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jack Hungerford is 1851505879. The last update date is 2007-07-08.
Jack Hungerford's current location address is 2550 Crawford Ave, Evanston, Illinois. You can contact this provider via phone number 8477330844 and fax number 8477330834. The mailing address for Jack Hungerford is 2550 Crawford Ave, Evanston, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Hungerford |
|---|---|
| Address | 2550 Crawford Ave, Evanston, Illinois |
| Phone Number | 8477330844 |
| Fax Number | 8477330834 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1851505879 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2550 Crawford Ave |
|---|---|
| City | Evanston |
| State | Illinois (IL) |
| Post Code | 602014900 |
| Phone Number | 8477330844 |
| Fax Number | 8477330834 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code issued to Jack Hungerford by the Centers for Medicare & Medicaid Services?
The Jack Hungerford has been assigned the NPI (National Provider Identifier) 1851505879 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Jack Hungerford located?
The Jack Hungerford is located at 2550 Crawford Ave, Evanston, IL 602014900.
What is the Jack Hungerford's area of specialization and corresponding taxonomy classification?
The Jack Hungerford's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1851505879 to Jack Hungerford?
The Jack Hungerford received its 1851505879 assignment from the Centers for Medicare & Medicaid Services on 2007-05-09.
As of what date was the information regarding Jack Hungerford, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jack Hungerford, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.