University of Illinois
University of Illinois provides Clinical Psychologist services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2009.
- Licensed in
- IL
- In the registry since
- 2009
Practice location Address checks out
1747 W Roosevelt RdChicago, IL 60608-1264 Not confirmed with CMS for 17 years — call before visiting
Phone: (312) 413-1741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence 071007706 (IL) |
|---|
Record details
| NPI number | 1962631010 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Marisela Huerta — Visiting Staff Psychologist · (312) 413-1741 |
| NPI enumerated | July 10, 2009 |
| Last updated in NPPES | July 10, 2009 |
| Mailing address | 1747 W Roosevelt Rd, Chicago, IL 60608-1264 |
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