Individual
RACHEL SOPHIA PORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
618 LIBRARY PLACE, EVANSTON, IL 60201
(847) 733-4300
Mailing address
1111 GOLFVIEW RD, GLENVIEW, IL 60025-3119
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.008035
IL
Other
Enumeration date
08/15/2008
Last updated
02/28/2014
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