Organization
CUNNINGHAM PSYCHOLOGICAL & CONSULTATION SERVICES LLC
Active
Other names
AMC The Practice
Organization subpart
No
Provider details
NPI number
Authorized official
ANNELISE CUNNINGHAM PHD (PSYCHOLOGIST)
(773) 531-8738
Entity
Organization
Contact information
Practice address
4143 N WESTERN AVE, CHICAGO, IL 60618-2808
(773) 531-8738
Mailing address
4143 N WESTERN AVE UNIT 2, CHICAGO, IL 60618-2808
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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