Dennis J Niswonger, Psy.d, S.c
Specialty details in registry · Orland Park, IL
At a glance
15040 S Ravinia Ave, Orland Park, IL 60462-3194
NPPES record updated Feb 18, 2010. Public records can lag behind changes at a practice.
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Insurance participation and appointment availability are not established by these public records.
Practice location
15040 S Ravinia Ave Suite 49Orland Park, IL 60462-3194
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 103TC0700X
- Enumeration date
- Apr 14, 2008
- Record updated
- Feb 18, 2010
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
103TC0700X · Primary
License reported: 071-007045 IL
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
15040 S Ravinia AveSuite 49
Orland Park, IL 60462-3194
- Phone
- (708) 364-3232
- Fax
- (708) 364-3233
Mailing address
15040 S RAVINIA AVESUITE 49
ORLAND PARK, IL 604623194
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