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JOHN GINTER LCPC

Clinical Neuropsychologist

Waukegan, Illinois

Provider NPI: 1750303129

Provider Information:
 JOHN  GINTER LCPC
Gender: M
Not Sole Proprietor

Practice Location:
3012 GRAND AVE  WAUKEGAN, IL 60085 US
Tel: 847-546-0080  Fax: 847-546-0083

Business Mailing Address:
3010 GRAND AVE  WAUKEGAN, IL 60085 US
Tel: 847-377-8000  Fax: 847-546-0083

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
IL180001882

Other Provider Identifiers:

IssuerNumberStateType
180001882IL05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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