Organization
CHICAGO NEUROPSYCHOLOGICAL SERVICES
Active
Organization
CHICAGO NEUROPSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER RANDOLPH PHD (DIRECTOR)
(312) 863-3033
Entity
Organization
Contact information
Practice address
1 E ERIE ST, SUITE 353, CHICAGO, IL 60611-2740
(312) 863-3033
(312) 262-4880
Mailing address
1 E ERIE ST, SUITE 353, CHICAGO, IL 60611-2740
(312) 863-3033
(312) 262-4880
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071004821
IL
Other
Enumeration date
05/04/2012
Last updated
05/04/2012
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