14D0421884 CLIA NUMBER - NAPERVILLE FAMILY PHYSICIANS DUPAGE MEDICAL GROUP

Laboratory Demographics

CLIA Number: 14D0421884

Facility Name: NAPERVILLE FAMILY PHYSICIANS DUPAGE MEDICAL GROUP

Facility Address:
2940 ROLLING RIDGE RD, SUITE 300
NAPERVILLE, IL
ZIP 60564
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Facility Phone Number: 630 527-5838

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1801325139

Taxonomy: 103TC0700X - Psychologist
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

CLIA Record

Field Name	Field Value
CLIA Number	14D0421884
LAB Type	Physician Office
Facility Name	NAPERVILLE FAMILY PHYSICIANS DUPAGE MEDICAL GROUP
Street	2940 ROLLING RIDGE RD, SUITE 300
City	NAPERVILLE
State	IL
ZIP	60564
Phone	630 527-5838
CertificateType	3
CertificateEffectiveDate	1/25/2024
CertificateExpirationDate	1/24/2026
FacilityType	PPMP

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This page was last updated on: 4/23/2024