Individual
DR. ANN CUSACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
55 E WASHINGTON ST, 2900, CHICAGO, IL 60602-2103
(312) 409-1915
Mailing address
1662 ORCHARD LN, NORTHFIELD, IL 60093-3431
(312) 409-1915
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
02/03/2007
Last updated
07/08/2007
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