Individual provider · NPI-1

Mark A Bakal, PSY.D.

Psychologist · Schaumburg, IL

NPI number1104925239
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1104925239
Entity type
Individual (NPI-1)
Name
Mark A Bakal
Credential
PSY.D.
Sex
Male
Sole proprietor
No
Enumeration date
Sep 22, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X Psychologist071-005737ILYes

Practice location

919 N Plum Grove Rd
Suite C
Schaumburg, IL 60173-5144

Phone 847-413-9700

Mailing address

919 N Plum Grove Rd
Suite C
Schaumburg, IL 60173-5144

Phone 847-413-9700

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