Individual
JONATHAN SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
122 S MICHIGAN AVE, CHICAGO, IL 60603-6191
(312) 409-2328
Mailing address
5930 CRAIN ST, MORTON GROVE, IL 60053-3011
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071002858
IL
Other
Enumeration date
08/03/2006
Last updated
05/14/2021
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