NPI 1093074502

Chicago Neuropsychological Services

Organisation Clinical Neuropsychologist Chicago, IL

Practice location

Address: 1 E Erie St Suite 353, Chicago, IL 60611-2740
Phone: (312) 863-3033
Fax: (312) 262-4880

Authorised official

Name: Christopher Randolph
Title: Director
Phone: (312) 863-3033

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 071004821 (IL)

Other Clinical Neuropsychologist providers in Illinois →

Registry record

NPI: 1093074502
Entity type: Organization
NPI issued: 4 May 2012
Record last updated: 4 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.