Individual
JOAN L. INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1640 W ROOSEVELT RD, SUITE 103, CHICAGO, IL 60608
(312) 413-1822
(312) 413-1593
Mailing address
409 CUSTER AVE, EVANSTON, IL 60202-5608
(847) 271-9246
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071003502
IL
Other
Enumeration date
01/25/2007
Last updated
07/06/2018
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