Individual
DR. BRIAN WAXLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2800 S CALIFORNIA AVE, CHICAGO, IL 60608-5107
(773) 674-3612
Mailing address
509 W MAIN ST, BARRINGTON, IL 60010-6827
(630) 715-2728
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008554
IL
Other
Enumeration date
05/01/2013
Last updated
05/04/2021
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