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Search › Illinois › Clinical Psychologist

Michael Blacconiere, PH.D

NPI 1801977269 · on the registry since 2006

Practice

Address
Hines Va Hospital
5th Ave & Roosevelt Rd
Hines, IL 60141
Phone
(708) 202-2656
Organisation at this address
Department Of Veterans Affairs
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
Clinical Psychologist
103TC0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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