Individual
DR. JAMES TODD DUBOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
222 MERCHANDISE MART PLZ, SUITE 13-659, OFFICE # 1336, CHICAGO, IL 60654-1103
(312) 329-6694
Mailing address
325 NORTH WELLS STREET, CHICAGO, IL 60654
(312) 329-6694
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
71007252
IL
Other
Enumeration date
04/17/2007
Last updated
10/29/2010
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