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1790393650
JERRY MARK OTOOLE
PLAINFIELD, IL
NPI
1790393650
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: IL 071006413)
Enumeration Date
2020-07-16
Last Update Date
2024-08-29
Business Address
Dr. JERRY MARK OTOOLE PsyD
24402 W LOCKPORT ST STE 215
PLAINFIELD, IL 60544-4204
Phone number: 630-621-5824
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Mailing Address
Dr. JERRY MARK OTOOLE PsyD
12816 TIMBER WOOD CIR
PLAINFIELD, IL 60585-2974
Phone number: 240-449-5170
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