Individual
DR. JASON HACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
30 N MICHIGAN AVE STE 2015, CHICAGO, IL 60602-3611
(312) 925-6330
Mailing address
30 N MICHIGAN AVE STE 2015, CHICAGO, IL 60602-3611
(312) 925-6330
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY1001016
DC
103TC0700X
Clinical Psychologist
Primary
071009274
IL
Other
Enumeration date
09/01/2015
Last updated
09/08/2021
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