Organization
GOOD NIGHT SLEEP TREATMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MEDALIE (CLINICAL PSYCHOLOGIST)
(312) 337-9900
Entity
Organization
Contact information
Practice address
467 W ERIE ST, CHICAGO, IL 60654-5704
(312) 337-9900
Mailing address
467 W ERIE ST, CHICAGO, IL 60654-5704
(312) 337-9900
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.008089
—
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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