Edessa Mirzapolos, Psy.D. Pllc

LBN: Edessa Mirzapolos, Psy.D. Pllc
Edessa Mirzapolos, Psy.D. Pllc is an health care organization with primary practice located at 24012 W Renwick Rd Ste 204 , Plainfield IL 60544-8733. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Edessa Mirzapolos, Psy.D. Pllc can be contacted via phone (773) 387-6350, or through Mirzapolos, Edessa via phone (773) 387-6350.

Contact Information

Primary practice address
24012 W Renwick Rd Ste 204 Plainfield IL 60544-8733
Phone: (773) 387-6350
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mirzapolos, Edessa PSYD
Phone: (773) 387-6350

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X

Profile Details

NPI number 1740964204
LBN Legal business name Edessa Mirzapolos, Psy.D. Pllc
DBA Doing business as
Authorized official Mirzapolos, Edessa PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2023
Last updated Jun 14th, 2023 - about last year

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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