W Douglas Vaselakos in Orland Park - Clinical
W Douglas Vaselakos - NPI 1235213968
W Douglas Vaselakos is a Clinical in Orland Park, Illinois. W Douglas Vaselakos practices all healthcare services and medical treatments related to Clinical. The NPI Number for W Douglas Vaselakos is 1235213968. The last update date is 2007-07-09.
W Douglas Vaselakos's current location address is 700 Ravinia Pl, Orland Park, Illinois. You can contact this provider via phone number 7082260010 and fax number 7082260040. The mailing address for W Douglas Vaselakos is 700 Ravinia Pl, Orland Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | W Douglas Vaselakos |
|---|---|
| Address | 700 Ravinia Pl, Orland Park, Illinois |
| Phone Number | 7082260010 |
| Fax Number | 7082260040 |
| Sole Proprietor | N |
| Credentials | PSY.D |
NPI Number Detail
| NPI Number | 1235213968 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 700 Ravinia Pl |
|---|---|
| City | Orland Park |
| State | Illinois (IL) |
| Post Code | 604623700 |
| Phone Number | 7082260010 |
| Fax Number | 7082260040 |
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1622805 | IL | BLUECROSS PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to W Douglas Vaselakos by the Centers for Medicare & Medicaid Services?
The W Douglas Vaselakos has been issued the NPI (National Provider Identifier) 1235213968, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the W Douglas Vaselakos's physical address?
The W Douglas Vaselakos is physically located at 700 Ravinia Pl, in the city of Orland Park, IL, with the postal code 604623700.
What is the area of specialization for W Douglas Vaselakos, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for W Douglas Vaselakos is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1235213968 to W Douglas Vaselakos?
The Centers for Medicare & Medicaid Services originally issued the 1235213968 to W Douglas Vaselakos on 2006-10-25.
As of what date were the details related to W Douglas Vaselakos most recently updated or revised?
The information pertaining to W Douglas Vaselakos, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.