Individual
DR. LAUREN MARIE POTTHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3633 W LAKE AVE STE 406, GLENVIEW, IL 60026-5804
(312) 248-3288
Mailing address
4454 N MANOR AVE, GARDEN APARTMENT, CHICAGO, IL 60625-3811
(815) 757-9513
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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