Individual
CASSANDRA MIKRUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
Mailing address
7429 CANTERBURY PL, DOWNERS GROVE, IL 60516-3849
(312) 545-6388
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.011223
IL
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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