Charlotte Ann Dillon in Aurora - Clinical
Charlotte Ann Dillon - NPI 1326114562
Charlotte Ann Dillon is a Clinical in Aurora, Illinois. Charlotte Ann Dillon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Charlotte Ann Dillon is 1326114562. The last update date is 2012-10-19.
Charlotte Ann Dillon's current location address is 412 N Lake St, Aurora, Illinois. You can contact this provider via phone number 6308962337 and fax number 6308963515. The mailing address for Charlotte Ann Dillon is 412 N Lake St, Aurora, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charlotte Ann Dillon |
|---|---|
| Address | 412 N Lake St, Aurora, Illinois |
| Phone Number | 6308962337 |
| Fax Number | 6308963515 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1326114562 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2012-10-19 |
Provider Mailing Address Detail
| Address | 412 N Lake St |
|---|---|
| City | Aurora |
| State | Illinois (IL) |
| Post Code | 605064106 |
| Phone Number | 6308962337 |
| Fax Number | 6308963515 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71004310 |
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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 |
|---|---|---|---|
| 4572030 | IL | BC BS OF ILLINOIS | |
| 4515275 | IL | BC BS OF ILLINOIS |
Post Comment/ Review Below
What is the unique identification code assigned to Charlotte Ann Dillon by the Centers for Medicare & Medicaid Services?
The Charlotte Ann Dillon has been issued the NPI (National Provider Identifier) 1326114562. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Charlotte Ann Dillon is physically located?
The Charlotte Ann Dillon is physically situated at the following address: 412 N Lake St, Aurora, IL, 605064106.
What is the Charlotte Ann Dillon's specialty and taxonomy code?
The Charlotte Ann Dillon's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Charlotte Ann Dillon receive its 1326114562 assignment from the Centers for Medicare & Medicaid Services?
The Charlotte Ann Dillon was assigned its 1326114562 by the Centers for Medicare & Medicaid Services on 2006-11-28.
As of what date were the details related to Charlotte Ann Dillon most recently updated or revised?
The information pertaining to Charlotte Ann Dillon, including its address, specialty, and other relevant details, was last updated or revised on 2012-10-19.
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