Individual
DR. KELLY GLAZER BARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
710 N LAKE SHORE DR, 10TH FLOOR, CHICAGO, IL 60611-3006
(312) 503-5571
(312) 503-2777
Mailing address
750 N LAKE SHORE DR, 10TH FLOOR, CHICAGO, IL 60611-3152
(312) 503-5571
(312) 503-2777
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
071.007561
IL
103TH0004X
Health Psychologist
Primary
071.007561
IL
Other
Enumeration date
05/27/2009
Last updated
10/19/2021
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