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Individual

TAL RAVIV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
2300 N CHILDRENS PLZ, BOX 10, CHICAGO, IL 60614-3363
(773) 880-4827
(773) 880-8110
Mailing address
2300 N CHILDRENS PLZ, BOX 10, CHICAGO, IL 60614-3363
(773) 880-4827
(773) 880-8110

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071.007797
IL
103T00000X
Psychologist
3336
CO

Other

Enumeration date
02/11/2010
Last updated
02/11/2010
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