Provider Demographics
NPI:1346333713
Name:TORRES, HECTOR L (PSYD)
Entity type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:L
Last Name:TORRES
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4711 N BROADWAY ST STE 105
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-4908
Mailing Address - Country:US
Mailing Address - Phone:312-508-8676
Mailing Address - Fax:872-268-7990
Practice Address - Street 1:4711 N BROADWAY ST STE 105
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-4908
Practice Address - Country:US
Practice Address - Phone:312-508-8676
Practice Address - Fax:872-268-7990
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-30
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2624103T00000X
IL071-007914103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist