Individual
DR. KYLE CRESSY DEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2211 N OAK PARK AVE, CHICAGO, IL 60707-3392
(773) 385-5865
Mailing address
2211 N OAK PARK AVE, CHICAGO, IL 60707-3392
(773) 385-5865
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.010205
IL
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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