person
Charles R Polcaster, PHD
Professional Counselor in Palos Heights, Illinois
NPI 1811067408

Charles R Polcaster is a Professional Counselor based in Palos Heights, IL and is specialized in Professional. Charles R Polcaster practices in Palos Heights, IL and has the professional credentials of PHD. The NPI Number for Charles R Polcaster is 1811067408 and holds a License No. 180000331 (Illinois).

The current practice location address for Charles R Polcaster is 7804 W College Dr, Palos Heights, IL and can be reached out via phone at 708-448-0884 and via fax at 708-448-0594.

Location: 7804 W College Dr, Palos Heights, IL, 60463-2169
person
Provider Profile Details
NPI Number
1811067408
Provider Name
Charles R Polcaster
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
7804 W College Dr, Palos Heights, IL, 60463-2169
Phone Number
708-448-0884
Fax Number
708-448-0594
Provider Enumeration Date
11/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01632157 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
7804 W College Dr
City
State
Zip
60463-1025
Phone Number
708-448-0884
Fax Number
708-448-0594
person
Provider Business Mailing Address Details
Address
7804 W College Dr
City
State
Zip
60463-1025
Phone Number
708-448-0884
Fax Number
708-448-0594
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180000331 (Illinois)
Definition
Definition to come...
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