Paul Pasulka is a Forensic in Chicago, Illinois. Paul Pasulka practices all healthcare services and medical treatments related to Forensic. The NPI Number for Paul Pasulka is 1063504124. The last update date is 2010-10-12.
Paul Pasulka's current location address is 600 N Mcclurg Ct, Chicago, Illinois. You can contact this provider via phone number 3122662136 and fax number 3122666375. The mailing address for Paul Pasulka is 600 N Mcclurg Ct, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Pasulka |
|---|---|
| Address | 600 N Mcclurg Ct, Chicago, Illinois |
| Phone Number | 3122662136 |
| Fax Number | 3122666375 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1063504124 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2010-10-12 |
Provider Mailing Address Detail
| Address | 600 N Mcclurg Ct |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606113044 |
| Phone Number | 3122662136 |
| Fax Number | 3122666375 |
Provider's Primary Taxonomy Detail
| Speciality | Forensic |
|---|---|
| Taxonomy | 103Tf0200X |
| Licence No | 071-003338 |
|
Definition: A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1673053 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Paul Pasulka's unique identification number?
The Paul Pasulka has been assigned the NPI (National Provider Identifier) Number 1063504124 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Paul Pasulka's physical address?
The Paul Pasulka is physically located at 600 N Mcclurg Ct, in the city of Chicago, IL, with the postal code 606113044.
What is the Paul Pasulka's specialty and taxonomy code?
The Paul Pasulka's specialty is Forensic, and the corresponding taxonomy code is 103Tf0200X.
On what date did Paul Pasulka receive its 1063504124 assignment from the Centers for Medicare & Medicaid Services?
The Paul Pasulka was assigned its 1063504124 on 2006-09-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Paul Pasulka, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Paul Pasulka, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-10-12.
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