Vaselakos, W Douglas

Vaselakos, W Douglas is an individual health care provider with primary practice located at 700 Ravinia Pl , Orland Park IL 60462-3700. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychoanalyst. Behavioral Health & Social Service Providers / Psychoanalyst is his primary health care specialty. Vaselakos, W Douglas can be contacted via phone (708) 226-0010.

Contact Information

Primary practice address
700 Ravinia Pl Orland Park IL 60462-3700
Phone: (708) 226-0010
Fax: (708) 226-0040
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071006093 Illinois
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X 071006093 Illinois

Profile Details

NPI number 1235213968
LBN Legal business name Vaselakos, W Douglas
Credentials PSY.D
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Apr 3rd, 2024 - about 7 months 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235213968 NPPES
Illinois Other 0001622805 BLUECROSS PROVIDER NUMBER
Illinois Other 364250769 BLUECROSS PROVIDER NUMBER

Popular Providers