Individual
ANNA DACUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 S CALIFORNIA AVE, CHICAGO, IL 60608-1732
(773) 257-6221
(773) 257-4753
Mailing address
1501 S CALIFORNIA AVE, CHICAGO, IL 60608-1732
(773) 257-6221
(773) 257-4753
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008560
IL
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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