Organization
NANCY LANDRE PHD, P.C.
Active
Organization
NANCY LANDRE PHD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY LANDRE PH.D. (OWNER)
(847) 219-2758
Entity
Organization
Contact information
Practice address
2604 DEMPSTER ST, SUITE 510, PARK RIDGE, IL 60068-8412
(847) 291-2758
(815) 455-4322
Mailing address
2604 DEMPSTER ST, SUITE 510, PARK RIDGE, IL 60068-8412
(847) 291-2758
(815) 455-4322
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071004694
IL
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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