Provider Demographics
NPI:1629281720
Name:CORRADO, WILLIAM CHRISTOPHER (PSYD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:CHRISTOPHER
Last Name:CORRADO
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:DR
Other - First Name:W
Other - Middle Name:CHRISTOPHER
Other - Last Name:CORRADO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSY,D
Mailing Address - Street 1:1 TIFFANY PT
Mailing Address - Street 2:STE 105
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-2915
Mailing Address - Country:US
Mailing Address - Phone:310-800-0567
Mailing Address - Fax:
Practice Address - Street 1:1010 JORIE BLVD STE 12
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523
Practice Address - Country:US
Practice Address - Phone:630-368-9100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY20779103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical