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Individual

DR. RANDA SABBAGHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
680 N LAKE SHORE DR, SUITE 925, CHICAGO, IL 60611-4546
(312) 493-3904
(847) 592-8745
Mailing address
PO BOX 11690, CHICAGO, IL 60611-0690
(312) 493-3904
(847) 295-8745

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
071006935
IL
103TC0700X
Clinical Psychologist
Primary
071006935
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
071006935
STATE LICENSE
IL
Enumeration date
08/22/2007
Last updated
04/15/2026
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