| Doctor Name: | DR. DAVID CHARLES USNDEK |
| NPI Number: | 1073684643 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSYD LC PC CADC |
| License Number: | 21610 |
| Business Practice Address: | 6918 W Windsor Avenue Berwyn, IL - 60402 |
| Business Phone Number: | 7087954800 |
| Business Fax Number: | 7087954834 |
| Mailing Address: | 3446 Clinton Avenue, BERWYN |
| State: | IL |
| Postal Code: | 60402 |
| Phone Number: | 7084846990 |
| Fax Number: | |
| NPI Enumeration Date: | 11/13/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 21610 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |