Individual
DR. SUSAN FOTI MCCLANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
333 E ONTARIO ST APT 4401B, CHICAGO, IL 60611-4895
(312) 337-6064
(847) 729-5462
Mailing address
333 N. MICHIGAN AVE, SUITE 1900, CHICAGO, IL 60601-3994
(312) 337-6064
(847) 729-5462
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071005162
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0081645190
BC/BS
IL
Enumeration date
08/16/2006
Last updated
06/19/2015
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