Organization
NORTHWESTERN NEUROPSYCHOLOGY INSTITUTE, S.C
Active
Other names
Randa Sabbagha
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FREDA N LINDSEY (ADMINISTRATOR)
(773) 735-2110
Entity
Organization
Contact information
Practice address
680 N LAKE SHORE DR, SUITE 925, CHICAGO, IL 60611-4546
(312) 664-6860
(857) 295-8745
Mailing address
PO BOX 11690, CHICAGO, IL 60611-0690
(773) 735-2110
(773) 735-4238
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071006935
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071006935
MEDICAL LICENSE
IL
Enumeration date
09/27/2007
Last updated
03/28/2014
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