Organization
CHICAGOLAND NEUROPSYCHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLIN BRIETZKE PSY.D. (OWNER)
(773) 931-3439
Entity
Organization
Contact information
Practice address
101 N MARION ST, STE 313, OAK PARK, IL 60301-1167
(773) 931-3439
Mailing address
101 N MARION ST, STE. 313, OAK PARK, IL 60301-1167
(773) 931-3439
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071.008376
IL
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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