Active NPIIndividual providerSole proprietor

Dr. Theresa C Risolo, PSYD

Psychologist, Clinical in Burr Ridge, Illinois

NPI Number1861403511
Practice location
7055 Veterans Blvd Ste C, Burr Ridge, IL 60527-5641
Fax
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Last updated
October 24, 2023

Theresa C Risolo is a Psychologist, Clinical based in Burr Ridge, IL. Theresa C Risolo practices in Burr Ridge, IL and has the professional credentials of PSYD. The NPI Number for Theresa C Risolo is 1861403511 and holds a License No. 071-003688 (IL). The current practice location address for Theresa C Risolo is 7055 Veterans Blvd Ste C, Burr Ridge, IL 60527-5641 and can be reached out via phone at 708-246-2637.

Provider Profile Details

NPI Number
1861403511
Provider Name
Theresa C Risolo
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
7055 Veterans Blvd Ste C, Burr Ridge, IL 60527-5641
Phone Number
708-246-2637
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 10, 2006
Last Update Date
October 24, 2023
Certification Date
September 6, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
7055 Veterans Blvd Ste C
Burr Ridge, IL 60527-5641
Zip
60527-5641
Phone Number
708-246-2637
Burr Ridge, IL 60527Get directions →

Provider Business Mailing Address Details

Address
4 Summit Ave
Rockport, MA 01966-1411
City
Rockport
State
MA
Zip
01966-1411
Phone Number
708-955-2806

License Information

License Number
071-003688
License State
IL
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Theresa C Risolo, PSYD?

The NPI number of Dr. Theresa C Risolo, PSYD is 1861403511. It was assigned on August 10, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Theresa C Risolo, PSYD?

Dr. Theresa C Risolo, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in IL under license number 071-003688.

Where does Dr. Theresa C Risolo, PSYD practice?

The practice location is 7055 Veterans Blvd Ste C, Burr Ridge, IL 60527-5641. The office can be reached at 708-246-2637 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861403511 directly on the NPPES registry website.

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