Cornelius D Mahoney
Clinical Psychologist
900 North Shore Dr Ste 200
Lake Bluff
, Illinois 60044-2243
Cornelius D Mahoney
Clinical Psychologist
900 North Shore Dr Ste 200
Lake Bluff
, Illinois 60044-2243
(847) 295-0351
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Cornelius D Mahoney
- 900 North Shore Dr Ste 200
- Lake Bluff, IL
- Zip : 60044-2243
- Fax : (847) 295-0351
- Phone : (847) 295-0340
Second Address
- Cornelius D Mahoney
- 900 North Shore Dr Ste 200
- Lake Bluff, IL
- Zip : 60044-2243
- Fax : (847) 295-0351
- Phone : (847) 295-0340
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What type of doctor is Cornelius D Mahoney
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Is Cornelius D Mahoney a sole practitioner?
Is Cornelius D Mahoney accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 071003138 | IL |
| Y | 103TC0700X | Clinical Psychologist | 071003138 | IL |
National Provider Identifier
| NPI | 1003895657 |
|---|---|
| Provider Name | Cornelius D Mahoney |
| First Address | Lake Bluff, IL 60044-2243 |
| Second Address | Lake Bluff, IL 60044-2243 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/01/2006 |
| Last Update Date | 02/12/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.