Provider Demographics
NPI:1841480522
Name:POZULP, NAP (PH D)
Entity type:Individual
Prefix:DR
First Name:NAP
Middle Name:
Last Name:POZULP
Suffix:
Gender:M
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 W WASHINGTON ST
Mailing Address - Street 2:STE 1601
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-3210
Mailing Address - Country:US
Mailing Address - Phone:312-630-1001
Mailing Address - Fax:312-630-1342
Practice Address - Street 1:77 W WASHINGTON ST
Practice Address - Street 2:STE 1601
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3210
Practice Address - Country:US
Practice Address - Phone:312-630-1001
Practice Address - Fax:312-630-1342
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-27
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071-002362103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1644767OtherBLUE CROSS BLUE SHIELD
IL1644767OtherBLUE CROSS BLUE SHIELD