| Wakeful Psychological And Consulting Services, Pllc | |
|
1740 Ridge Ave Ste 200c Evanston IL 60201-5918 | |
| (312) 690-3719 | |
| (224) 999-6781 |
| Full Name | Wakeful Psychological And Consulting Services, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1740 Ridge Ave Ste 200c, Evanston, Illinois |
| Authorized Official Name and Position | Tak-seng Lodro (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3128106681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wakeful Psychological And Consulting Services, Pllc 1740 Ridge Ave Ste 200c Evanston IL 60201-5918 Ph: (312) 690-3719 | Wakeful Psychological And Consulting Services, Pllc 1740 Ridge Ave Ste 200c Evanston IL 60201-5918 Ph: (312) 690-3719 |
| NPI Number | 1407329063 |
|---|---|
| Provider Enumeration Date | 01/07/2019 |
| Last Update Date | 11/24/2023 |
| Certification Date | 11/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407329063 | NPI | - | NPPES |
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