Keith V Bjorge is a Clinical in Lake Zurich, Illinois. Keith V Bjorge practices all healthcare services and medical treatments related to Clinical. The NPI Number for Keith V Bjorge is 1700053360. The last update date is 2008-05-13.
Keith V Bjorge's current location address is 61 S Old Rand Rd, Lake Zurich, Illinois. You can contact this provider via phone number 8474384222. The mailing address for Keith V Bjorge is 61 S Old Rand Rd, Lake Zurich, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith V Bjorge |
|---|---|
| Address | 61 S Old Rand Rd, Lake Zurich, Illinois |
| Phone Number | 8474384222 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSY D |
NPI Number Detail
| NPI Number | 1700053360 |
|---|---|
| Provider Enumeration Date | 2008-05-13 |
| Last Updated Date | 2008-05-13 |
Provider Mailing Address Detail
| Address | 61 S Old Rand Rd |
|---|---|
| City | Lake Zurich |
| State | Illinois (IL) |
| Post Code | 600473127 |
| Phone Number | 8474384222 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 071-005483 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Keith V Bjorge by the Centers for Medicare & Medicaid Services (CMS)?
The Keith V Bjorge has been assigned the NPI (National Provider Identifier) 1700053360. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Keith V Bjorge's facilities are situated?
The facilities of Keith V Bjorge are physically located at the following address: 61 S Old Rand Rd, Lake Zurich, IL, 600473127.
What is the area of specialization for Keith V Bjorge, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Keith V Bjorge is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
When did Keith V Bjorge receive its 1700053360 assignment?
The Keith V Bjorge was assigned its 1700053360 on 2008-05-13, which is the date when this unique identifier was issued to the organization.
As of what date were the Keith V Bjorge's details last updated?
The information pertaining to the Keith V Bjorge, including its address, specialty, and other details, was most recently updated on 2008-05-13.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY