Provider Demographics
NPI:1841422458
Name:HOOVER, DAVID CHONG (PSYD, PC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:CHONG
Last Name:HOOVER
Suffix:
Gender:M
Credentials:PSYD, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 N WABASH AVE STE 1400
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-3074
Mailing Address - Country:US
Mailing Address - Phone:312-436-1657
Mailing Address - Fax:312-284-4505
Practice Address - Street 1:111 N WABASH AVE
Practice Address - Street 2:SUITE 822
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-1903
Practice Address - Country:US
Practice Address - Phone:312-436-1657
Practice Address - Fax:312-284-4505
Is Sole Proprietor?:No
Enumeration Date:2009-08-14
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180007852101YP2500X
IL071008817103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional