PETER A DODZIK


Address: 121 S Wilke Rd Ste 200, Arlington Heights, IL 60005-1525
Phone: (847) 577-0904

PETER A DODZIK (NPI# 1437156999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437156999
Entity Type Individual
Full Name PETER A DODZIK
Credential PSY.D.
Practice Address 121 S Wilke Rd Ste 200
Arlington Heights
IL 60005-1525
Practice Telephone (847) 577-0904
Mailing Telephone 8475770904
Enumeration Date 2005-06-30
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103G00000X Clinical Neuropsychologist 071006408 IL Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
071006408 IL Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
20041718 IN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 200406360 05
IN RR MEDICARE 680015841 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
4306 E State Blvd, Fort Wayne, IN 468156915 2604603203 2604603204

Office Location

Street Address 121 S WILKE RD STE 200
City ARLINGTON HEIGHTS
State IL
Zip Code 60005-1525

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083122766 Kelsey Erin Oster Psychologist 121 S Wilke Rd Ste 200, Arlington Heights, IL 60005 2018-01-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033673330 Salario Senior Care, Inc. In Home Supportive Care 1020 S. Arlington Heights Road Ste 1 Nw, Arlington Heights, IL 60005 2019-01-31
1265922355 Kathy Pawlusiewicz Dds. Dba Prospect Dental Dentist 1120 E. Central Rd., Arlington Heights, IL 60005 2018-05-14
1316437890 Darcy L Marr Orthopaedic Surgery 3030 Salt Creek Lane, Suite 100, Arlington Heights, IL 60005 2018-05-10
1679076269 Patrick O'neill Specialist/Technologist 1115 W Francis Dr, Arlington Hts, IL 60005 2018-03-09
1326556861 Danielle Marie Frye Hughes Chiropractor 825 E Golf Rd Ste 1147, Arlington Heights, IL 60005 2018-01-18
1568977890 Nicole L Pollard Counselor 121 New Wilke Road, Suite 101, Arlington Heights, IL 60005 2017-12-08
1477062701 New Family Dental Dentist 1768 W Algonqun Rd, Arlington Heights, IL 60005 2017-09-29
1346775715 Laura Marie Ipjian Counselor 121 S Wilke Rd Ste 232, Arlington Heights, IL 60005 2017-04-24
1285051615 Christopher Colby Student in an Organized Health Care Education/Training Program 1600 W. Cnetral Rd., Arlington Heights, IL 60005 2014-03-24
1497181697 Legacy Medical Care Inc Clinic/Center 121 S. Wilke Rd, Suite 600, Arlington Heights, IL 60005 2013-09-19
Find all providers in zip 60005

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134745847 Elizabeth U. Lucchese Psychologist 126 E Wing St # 166, Arlington Heights, IL 60004-6064 2020-06-18
1376173831 Dr. Jamie Riley, Psychotherapy Practice, LLC Psychologist 2015 S Arlington Heights Rd Ste 110, Arlington Heights, IL 60005-4150 2020-01-23
1568988905 Compassionate Neuropsychology, LLC Psychologist 315 N Dryden Pl, Arlington Heights, IL 60004-6313 2017-08-17
1801271036 Elizabeth Sherman Psychologist 11 W College Dr Ste B, Arlington Heights, IL 60004-1900 2015-07-29
1902221203 Ilene Berns-zare Psychologist 3248 N Volz Dr E, Arlington Heights, IL 60004-1642 2014-02-23
1750656567 Matthew William Hefferon Psychologist 1650 N Arlington Heights Rd, Suite 101, Arlington Heights, IL 60004-3945 2012-03-12
1871806927 Karina M Corradi Psychologist 1404 W Fremont St, Arlington Heights, IL 60005-1102 2010-07-19
1558596387 Heather Marie Brown Psychologist 3325 N Arlington Heights Rd Ste 400b, Ste 1127, Arlington Heights, IL 60004-1583 2009-05-22
1932386117 Shannon Kathleen Riley Psychologist 120 W Eastman St Ste 200, Arlington Heights, IL 60004-5949 2008-01-30
1467645911 Martha Hinkle Psychologist 412 W Hintz Rd, Arlington Heights, IL 60004-2439 2007-08-18
Find all providers in ARLINGTON HEIGHTS

Competitor

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City ARLINGTON HEIGHTS
Zip Code 60005

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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