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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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