Individual
DR. SUPATCHARA LAKSANAPROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
6323 N AVONDALE AVE STE 108, CHICAGO, IL 60631-1958
(312) 975-3307
Mailing address
6323 N AVONDALE AVE STE 108, CHICAGO, IL 60631-1958
(312) 975-3307
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071010079
IL
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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