Individual
SAM PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2835 N SHEFFIELD AVE STE 401, CHICAGO, IL 60657-5084
(312) 248-9490
Mailing address
644 W WEBSTER AVE UNIT B, CHICAGO, IL 60614-3710
(773) 991-3016
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.010920
IL
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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