Dodzik, Peter A

Dodzik, Peter A is an individual health care provider with primary practice located at 415 W Golf Rd Ste 16 , Arlington Heights IL 60005-3923. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Dodzik, Peter A can be contacted via phone (847) 577-0904.

Contact Information

Primary practice address
415 W Golf Rd Ste 16 Arlington Heights IL 60005-3923
Phone: (847) 577-0904
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20041718 Indiana
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071006408 Illinois
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 071006408 Illinois

Profile Details

NPI number 1437156999
LBN Legal business name Dodzik, Peter A
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated May 9th, 2022 - about 3 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 1437156999 NPPES
Indiana MEDICAID 200406360
Indiana Other 680015841

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