Individual
RICHARD MACUR BROUSIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D., LPHA
Contact information
Practice address
1501 S CALIFORNIA AVE, CHICAGO, IL 60608-1732
(773) 257-5315
Mailing address
1501 S CALIFORNIA AVE, CHICAGO, IL 60608-1732
(773) 257-5315
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071.004678
IL
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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