Individual
DR. LISA N DWORKIN-CANTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3322 N ASHLAND AVE, CHICAGO, IL 60657-0195
(773) 472-8587
Mailing address
2521 N BERNARD ST, CHICAGO, IL 60647-1201
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071005338
IL
Other
Enumeration date
09/11/2009
Last updated
11/08/2021
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