Individual
RUSSEL REIZNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3444 DUNDEE RD, NORTHBROOK, IL 60062-2201
(847) 559-0110
(847) 559-8199
Mailing address
3444 DUNDEE RD, NORTHBROOK, IL 60062-2201
(847) 559-0110
(847) 559-8199
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.004888
IL
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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