Individual
DR. EUGENIE BOURNIQUE PABST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1901 N CLYBOURN AVE, SUITE 301, CHICAGO, IL 60614-5090
(312) 472-0560
Mailing address
1901 N CLYBOURN AVE, SUITE 301, CHICAGO, IL 60614-5090
(312) 472-0560
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Enumeration date
10/15/2008
Last updated
10/17/2008
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