Individual
DR. MICHAEL R PIETRUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
410 S MICHIGAN AVE, SUITE 707, CHICAGO, IL 60605-1308
(312) 869-9401
Mailing address
410 S MICHIGAN AVE, SUITE 707, CHICAGO, IL 60605-1308
(312) 869-9401
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071.008203
IL
Other
Enumeration date
09/27/2011
Last updated
12/22/2011
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