Individual
DR. AUDRA LEIGH MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
1900 HASSELL RD, HEALTH AND HUMAN SERVICES, HOFFMAN ESTATES, IL 60169-6302
(847) 781-4850
(847) 781-4869
Mailing address
1900 HASSELL RD, HOFFMAN ESTATES, IL 60169-6302
(847) 781-4850
(847) 781-4869
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009113
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
IL
Enumeration date
11/22/2021
Last updated
11/22/2021
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