Individual
DR. CARA MCCANSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
405 N WABASH AVE, #1114, CHICAGO, IL 60611-3591
(815) 222-9030
Mailing address
405 N WABASH AVE, 1114, CHICAGO, IL 60611-3591
(815) 222-9030
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008136
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071008136
—
IL
Enumeration date
07/18/2011
Last updated
03/30/2012
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