Individual
LAURA MARIE VAN DUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1440 RENAISSANCE DR, SUITE 200, PARK RIDGE, IL 60068-1472
(847) 296-3442
(847) 296-3543
Mailing address
1440 RENAISSANCE DR, SUIT 200, PARK RIDGE, IL 60068-1472
(847) 296-3442
(847) 296-3543
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036103137
IL
Other
Enumeration date
10/04/2006
Last updated
05/13/2013
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