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Individual

DR. CHARLES E BEHRENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
5547 N RAVENSWOOD AVE, CHICAGO, IL 60640-1125
(773) 769-4313
(773) 769-1179
Mailing address
7636 N NEVA AVE, NILES, IL 60714-4746
(847) 696-9223
(847) 696-9255

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071005216
IL

Other

Enumeration date
05/04/2007
Last updated
05/29/2015
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