| Ellen Diamond | |
|
1866 Sheridan Rd Ste 207 Highland Park IL 60035-2545 | |
| (847) 433-3815 | |
| (847) 433-3203 |
| Full Name | Ellen Diamond |
|---|---|
| Speciality | Psychologist |
| Location | 1866 Sheridan Rd Ste 207, Highland Park, Illinois |
| Authorized Official Name and Position | Lana Moshkovich (CMM, CPC,CEMP) |
| Authorized Official Contact | 8479047500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Diamond 1866 Sheridan Rd Ste 207 Highland Park IL 60035-2545 Ph: (847) 433-3815 | Ellen Diamond 1866 Sheridan Rd Ste 207 Highland Park IL 60035-2545 Ph: (847) 433-3815 |
| NPI Number | 1013276880 |
|---|---|
| Provider Enumeration Date | 05/14/2012 |
| Last Update Date | 05/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013276880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 071004187 (Illinois) | Primary |
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