Individual
MARY T JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1 E SUPERIOR ST STE 306, CHICAGO, IL 60611-2595
(312) 929-2172
Mailing address
1 E SUPERIOR ST STE 306, CHICAGO, IL 60611-2595
(312) 929-2172
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071009644
IL
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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