Kenneth Adam Fogel in Park Ridge - Clinical
Kenneth Adam Fogel - NPI 1033121124
Kenneth Adam Fogel is a Clinical in Park Ridge, Illinois. Kenneth Adam Fogel practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kenneth Adam Fogel is 1033121124. The last update date is 2021-01-08.
Kenneth Adam Fogel's current location address is 118 N Chester Ave, Park Ridge, Illinois. You can contact this provider via phone number 8473845679. The mailing address for Kenneth Adam Fogel is 118 N Chester Ave, Park Ridge, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Adam Fogel |
|---|---|
| Address | 118 N Chester Ave, Park Ridge, Illinois |
| Phone Number | 8473845679 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSY D |
NPI Number Detail
| NPI Number | 1033121124 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2021-01-08 |
Provider Mailing Address Detail
| Address | 118 N Chester Ave |
|---|---|
| City | Park Ridge |
| State | Illinois (IL) |
| Post Code | 60068 |
| Phone Number | 8473845679 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71006356 |
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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 identifier code issued to Kenneth Adam Fogel by the Centers for Medicare & Medicaid Services?
The Kenneth Adam Fogel has been assigned the NPI (National Provider Identifier) 1033121124 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Kenneth Adam Fogel is physically located?
The Kenneth Adam Fogel is physically situated at the following address: 118 N Chester Ave, Park Ridge, IL, 60068.
What is Kenneth Adam Fogel's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kenneth Adam Fogel is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
When did the Kenneth Adam Fogel receive its 1033121124?
The Kenneth Adam Fogel was issued its 1033121124 on 2006-08-13, which is the date when the organization was assigned this unique identifier.
As of what date were the Kenneth Adam Fogel's details last updated?
The information pertaining to the Kenneth Adam Fogel, including its address, specialty, and other details, was most recently updated on 2021-01-08.