Provider Demographics
NPI:1588622666
Name:BOOKSHESTER, JOYCE CAROL (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:CAROL
Last Name:BOOKSHESTER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:737 N MICHIGAN AVE
Mailing Address - Street 2:SUITE 2240
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2615
Mailing Address - Country:US
Mailing Address - Phone:312-943-0950
Mailing Address - Fax:773-528-6581
Practice Address - Street 1:737 N MICHIGAN AVE
Practice Address - Street 2:SUITE 2240
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2615
Practice Address - Country:US
Practice Address - Phone:312-943-0950
Practice Address - Fax:773-528-6581
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL617460Medicare ID - Type UnspecifiedPROVIDER NUMBER