MICHAEL J BLACCONIERE

HINES, IL
NPI1801977269
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: IL  71004033)
Enumeration Date2006-10-18
Last Update Date2007-07-08
Business Address
Dr. MICHAEL J BLACCONIERE Ph.D.
HINES VA HOSPITAL 5TH AVE & ROOSEVELT RD
HINES, IL 60141
Phone number: 708-202-2656
Mailing Address
Dr. MICHAEL J BLACCONIERE Ph.D.
1339 MARGRET ST
DES PLAINES, IL 60018-1522
Phone number: 847-827-6641
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