Individual
DR. MICHAEL J PURCELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
6832 W NORTH AVE, SUITE 4B, CHICAGO, IL 60707-4430
(773) 796-0747
Mailing address
6910 W DICKENS AVE, CHICAGO, IL 60707-3327
(773) 796-0747
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006908
IL
Other
Enumeration date
01/22/2007
Last updated
11/19/2013
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