Provider Demographics
NPI:1720408271
Name:KAMEN, GARY BEST (PHD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:BEST
Last Name:KAMEN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 SAINT JOHNS AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-4649
Mailing Address - Country:US
Mailing Address - Phone:847-432-4160
Mailing Address - Fax:847-432-4175
Practice Address - Street 1:735 SAINT JOHNS AVE
Practice Address - Street 2:SUTE 400
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-4649
Practice Address - Country:US
Practice Address - Phone:847-432-4160
Practice Address - Fax:847-432-4175
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-23
Last Update Date:2014-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071-001313103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist