Organization
CHICAGO NEUROREHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE LONDON PSYD (SOLE MBR)
(312) 504-4428
Entity
Organization
Contact information
Practice address
980 N MICHIGAN AVE, SUITE 1400, CHICAGO, IL 60611-4501
(312) 504-4428
Mailing address
6033 N SHERIDAN RD, SUITE N6, CHICAGO, IL 60660-3003
(312) 504-4428
(773) 751-2250
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008380
IL
Other
Enumeration date
07/17/2014
Last updated
07/22/2014
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