Individual
LORI G TALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
8 S MICHIGAN AVE, SET 500, CHICAGO, IL 60603-3357
(312) 609-5404
Mailing address
8 S MICHIGAN AVE, SET 500, CHICAGO, IL 60603-3357
(312) 609-5404
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
53521462501
UT
Other
Enumeration date
07/16/2006
Last updated
01/11/2021
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