Organization
BIOPSYCHTECH OF CHICAGO, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE L LIVINGSTON PHD (PRESIDENT)
(312) 907-3644
Entity
Organization
Contact information
Practice address
333 N MICHIGAN AVE, STE 1801, CHICAGO, IL 60601-3901
(312) 907-3644
(219) 879-2525
Mailing address
8633 W 400 N, MICHIGAN CITY, IN 46360-9584
(312) 907-3644
(219) 879-2525
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
20041831A
IN
103T00000X
Psychologist
Primary
—
IL
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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