Individual
JAMIE ANN CVENGROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
710 S PAULINA ST, 6 S JRB, CHICAGO, IL 60612-3808
(312) 942-5440
(312) 942-8961
Mailing address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5440
(312) 942-8961
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.007723
IL
Other
Enumeration date
07/30/2009
Last updated
07/30/2009
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