Individual
LARRY EDWARD BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
1945 W WILSON AVE, FOURTH FLOOR, CHICAGO, IL 60640-5255
(773) 769-4600
(773) 769-0042
Mailing address
418 15TH ST, WILMETTE, IL 60091-2514
(847) 251-6436
(847) 251-6034
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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