Provider First Line Business Practice Location Address:
501 W PETERSON RD
Provider Second Line Business Practice Location Address:
ALLIED PSYCHOLOGICAL SERVICES LTD
Provider Business Practice Location Address City Name:
LIBERTYVILLE
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60048
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
847-680-3828
Provider Business Practice Location Address Fax Number:
847-680-3844
Provider Enumeration Date:
08/09/2007