Organization Name: | MARK D. PARISI, PSY.D., P.C. |
NPI Number: | 1376730028 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK DOMINICK PARISI (PRESIDENT / OWNER) |
Mailing Address: | 800 E Northwest Hwy Ste 106 Mount Prospect |
State: | IL US |
Postal Code: | 600563457 |
Phone Number: | 8479099858 |
Fax Number: | 8472994952 |
NPI Enumeration Date: | 09/26/2007 |
NPI Last Update Date: | 12/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | 071-005598 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |