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Individual

DR. JOHN CHRISTIAN HARDIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
85 REVERE DRIVE, SUITE 108, CHICAGO, IL 60657
(847) 559-9343
(773) 913-2395
Mailing address
3100 N SHERIDAN RD, APT. 9E, CHICAGO, IL 60657-4954
(312) 810-5646
(773) 913-2395

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071007352
IL
103TH0004X
Health Psychologist
071007352
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
$$$$$$$$$
IL
Enumeration date
10/17/2007
Last updated
05/14/2021
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