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Organization

BRAIN AND PSYCHOLOGY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANNA MAZUR MOSIEWICZ PHD (PRESIDENT)
(312) 467-2257
Entity
Organization

Contact information

Practice address
4711 GOLF RD, SUITE 400, SKOKIE, IL 60076-1224
(312) 467-2257
(773) 751-2250
Mailing address
4711 GOLF RD, SUITE 400, SKOKIE, IL 60076-1224
(312) 467-2257
(773) 751-2250

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008790
IL

Other

Enumeration date
11/12/2014
Last updated
11/12/2014
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