Individual
DR. LARA MICHELLE BAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
625 N MICHIGAN AVE STE 2550, CHICAGO, IL 60611-3182
(312) 640-7743
Mailing address
625 N MICHIGAN AVE STE 2550, CHICAGO, IL 60611-3182
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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