Individual
DR. RUI MARY JIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1 E ERIE ST STE 525-4862, CHICAGO, IL 60611-2740
(872) 806-6211
Mailing address
1 E ERIE ST STE 525-4862, CHICAGO, IL 60611-2740
(872) 806-6211
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.010514
IL
Other
Enumeration date
11/05/2019
Last updated
10/26/2021
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