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Individual

DR. AMYANSONRCN.COM RUTH ANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
3330 OLD GLENVIEW ROAD, SUITE 1, WILMETTE, IL 60091
(847) 791-5078
(847) 251-9330
Mailing address
9020 TRIPP, SKOKIE, IL 60076
(847) 791-5078
(847) 251-9330

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1627266
BLUE CROSS BLUE SHIELD #
IL
Enumeration date
09/19/2006
Last updated
07/21/2022
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