| Doctor Name: | DR. MARC I OSTER |
| NPI Number: | 1114069093 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | |
| Business Practice Address: | 707 Lake Cook Rd Ste 120 Deerfield, IL - 600154909 |
| Business Phone Number: | 8476041593 |
| Business Fax Number: | 8475791055 |
| Mailing Address: | 1954 First St #103, HIGHLAND PARK |
| State: | IL |
| Postal Code: | 600353104 |
| Phone Number: | 8476041593 |
| Fax Number: | 8475791055 |
| NPI Enumeration Date: | 02/13/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |