Dr. KURT ROBERT ILLIG PhD, LP
Individual Provider (NPI-1)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1003656760- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PhD, LP
- Status
- Active
Contact & Location
- Address
- 3795 PILOT KNOB RD, EAGAN, MN, 551223176
- Phone
- (952) 595-5652
Specialties & Taxonomies
Psychologist, Clinical
Primary License: MN #LP7058