Dennis J Niswonger, Psy.D, S.C

LBN: Dennis J Niswonger, Psy.D, S.C
Dennis J Niswonger, Psy.D, S.C is an health care organization with primary practice located at 15040 S Ravinia Ave Suite 49, Orland Park IL 60462-3194. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Dennis J Niswonger, Psy.D, S.C can be contacted via phone (708) 364-3232, or through Niswonger, Dennis J via phone (708) 364-3232.

Contact Information

Primary practice address
15040 S Ravinia Ave Suite 49 Orland Park IL 60462-3194
Phone: (708) 364-3232
Fax: (708) 364-3233
Website:
Map and Directions
Authorized official contact:
Name: Niswonger, Dennis J PSY.D
Phone: (708) 364-3232

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071-007045 Illinois

Profile Details

NPI number 1760656581
LBN Legal business name Dennis J Niswonger, Psy.D, S.C
DBA Doing business as
Authorized official Niswonger, Dennis J PSY.D
Entity Organization
Organization subpart 1 No
Enumeration date Apr 14th, 2008
Last updated Feb 18th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760656581 NPPES
Illinois Other 1639275 BLUECROSS/BLUESHIELD

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