Individual
KURT LEE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
155 N MICHIGAN AVE STE 566, CHICAGO, IL 60601-7799
(312) 600-8310
Mailing address
924 N CROSBY ST, CHICAGO, IL 60610-2402
(312) 952-5106
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009012
IL
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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