Individual
DR. LORI RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1525 E 53RD ST, SUITE 503, CHICAGO, IL 60615-4557
(312) 890-4321
Mailing address
1525 E 53RD ST, SUITE 503, CHICAGO, IL 60615-4557
(312) 890-4321
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007947
IL
Other
Enumeration date
02/18/2011
Last updated
02/18/2011
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