Organization
REN F DUARTE PSY D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REN F DUARTE PSY . D. (CLINICAL PSYCHOLOGIST)
(773) 315-0636
Entity
Organization
Contact information
Practice address
3200 N LAKE SHORE DR, APT. 1001, CHICAGO, IL 60657-3952
(773) 315-0636
Mailing address
3200 N LAKE SHORE DR, APT. 1001, CHICAGO, IL 60657-3952
(773) 315-0636
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
071-006715
IL
Other
Enumeration date
06/29/2016
Last updated
04/21/2023
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