Individual
KATHRYN J WAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
644 W WEBSTER AVE UNIT B, CHICAGO, IL 60614-3710
(773) 991-3016
Mailing address
644 W WEBSTER AVE UNIT B, CHICAGO, IL 60614-3710
(773) 991-3016
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008160
IL
Other
Enumeration date
06/19/2015
Last updated
10/23/2020
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