| Harry Kent Phd Pc | |
|
77 N Airlite Street Provena St Joseph Hospital Elgin IL 60123-4912 | |
| (847) 695-3200 | |
| (947) 622-3470 |
| Full Name | Harry Kent Phd Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 77 N Airlite Street, Elgin, Illinois |
| Authorized Official Name and Position | Harry Mason Kent (PRESIDENT) |
| Authorized Official Contact | 7733982415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harry Kent Phd Pc 3540 N Southport #272 Chicago IL 60657 Ph: (773) 398-2415 | Harry Kent Phd Pc 77 N Airlite Street Provena St Joseph Hospital Elgin IL 60123-4912 Ph: (847) 695-3200 |
| NPI Number | 1861475212 |
|---|---|
| Provider Enumeration Date | 11/21/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861475212 | NPI | - | NPPES |
| 04532067 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Illinois) | Primary |
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