Individual
DR. DANA RUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1747 W ROOSEVELT RD, INSTITUTE FOR JUVENILE RESEARCH, COLBETH CLINIC, CHICAGO, IL 60608-1264
(312) 996-7723
Mailing address
2819 W CORTEZ ST, APT 3E, CHICAGO, IL 60622-6985
(773) 339-5159
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
071008927
IL
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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