Kenneth Fogel, PSY D

NPI 1033121124 · on the registry since 2006

Practice

Address: 200 S Frontage Rd Ste 324
Burr Ridge, IL 60527
Phone: (847) 347-0491
Organisation at this address: Optimal Vitality
Boules Clinical Psychology Group
Dr. Nancy Healy Haney And Associates, Pllc
Restoring Wellness Clinical Services, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-01-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois