Pasulka, Paul
Pasulka, Paul is an individual health care provider with primary practice located at 600 N Mcclurg Ct Suite 3803A, Chicago IL 60611-3044. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Pasulka, Paul can be contacted via phone (312) 266-2136.Contact Information
Primary practice address
600 N Mcclurg Ct Suite 3803A
Chicago IL 60611-3044
Phone: (312) 266-2136
Fax: (312) 266-6375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 071-003338 | Illinois |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 071-003338 | Illinois |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071-003338 | Illinois |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 071-003338 | Illinois |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 071-003338 | Illinois |
Profile Details
| NPI number | 1063504124 |
|---|---|
| LBN Legal business name | Pasulka, Paul |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Oct 12th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063504124 | NPPES |
| Illinois | Other | 01673053 | BLUE CROSS BLUE SHIELD |
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