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1366558553
MIDAMERICAN PSYCHOLOGICAL INSTITUTE PC
JOLIET, IL
NPI
1366558553
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Entity Type
Organization
Authorized Contact
DANIEL J MORAN
Owner
815-735-0732
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071006470)
Enumeration Date
2006-08-21
Last Update Date
2012-11-28
Business Address
MIDAMERICAN PSYCHOLOGICAL INSTITUTE PC
1415 MAPLE RD
JOLIET, IL 60432-1442
Phone number: 815-735-0732
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Mailing Address
MIDAMERICAN PSYCHOLOGICAL INSTITUTE PC
1415 MAPLE RD
JOLIET, IL 60432-1442
Phone number: 815-735-0732
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