Individual
DR. SURALEAH MICHAELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
207 W SUPERIOR ST, THIRD FLOOR, CHICAGO, IL 60654-3507
(312) 664-1621
Mailing address
207 W SUPERIOR ST, THIRD FLOOR, CHICAGO, IL 60654-3507
(312) 664-1621
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-003730
IL
Other
Enumeration date
05/09/2015
Last updated
05/09/2015
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