Dirksen, Courtney L.

Dirksen, Courtney L. is an individual health care provider with primary practice located at 855 E Golf Rd Suite 2139, Arlington Heights IL 60005-5222. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Dirksen, Courtney L. can be contacted via phone (847) 357-9158.

Contact Information

Primary practice address
855 E Golf Rd Suite 2139 Arlington Heights IL 60005-5222
Phone: (847) 357-9158
Fax: (847) 357-9203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 071-006894 Illinois

Profile Details

NPI number 1699815985
LBN Legal business name Dirksen, Courtney L.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated May 27th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699815985 NPPES
Illinois Other 1637952 BCBS OF ILLINOIS

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