Individual
DR. FREDERIKA COLLEEN THEUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
825 N CASS AVE, SUITE 311, WESTMONT, IL 60559-1132
(773) 412-1491
Mailing address
130 N HUMPHREY AVE, #2N, OAK PARK, IL 60302-2548
(773) 412-1491
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-005533
IL
Other
Enumeration date
01/30/2007
Last updated
12/02/2015
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