Organization
ROSALIND FRANKLIN UNIVERSITY OF MEDICINE & SCIENCE
Active
Organization
ROSALIND FRANKLIN UNIVERSITY OF MEDICINE & SCIENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER GAINES (CREDENTIALING SPECIALIST)
(757) 256-4289
Entity
Organization
Contact information
Practice address
3471 GREEN BAY RD, NORTH CHICAGO, IL 60064-3090
(847) 578-8723
Mailing address
3333 GREEN BAY RD, ROSALIND FRANKLIN UNIVERSITY, NORTH CHICAGO, IL 60064-3037
(847) 578-3311
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009327
IL
291U00000X
Clinical Medical Laboratory
Primary
071.009327
IL
Other
Enumeration date
10/04/2016
Last updated
05/29/2026
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