Individual
DR. MITCHELL CHANDLER SANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1515 N HARLEM AVE, SUITE 304, OAK PARK, IL 60302-1250
(708) 383-3405
Mailing address
556 LINCOLN ST, ROSELLE, IL 60172-1003
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007707
IL
Other
Enumeration date
10/05/2009
Last updated
10/05/2009
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