Keith V Bjorge Psyd Pc
Specialty details in registry · Lake Zurich, IL
At a glance
61 S Old Rand Rd, Lake Zurich, IL 60047-3127
NPPES record updated Nov 10, 2011. Public records can lag behind changes at a practice.
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Practice location
61 S Old Rand RdLake Zurich, IL 60047-3127
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 103TC0700X
- Enumeration date
- Nov 7, 2006
- Record updated
- Nov 10, 2011
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Psychologist
103T00000X
License reported: 2091057 WI
Specialty details in registry
103TC0700X · Primary
License reported: 071005483 IL
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
61 S Old Rand RdLake Zurich, IL 60047-3127
- Phone
- (815) 578-4222
- Fax
- (847) 438-0844
Mailing address
61 S OLD RAND RDLAKE ZURICH, IL 600473127
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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