Individual
DR. DOUGLAS S CULBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
405 N WABASH AVE, SUITE 4507, CHICAGO, IL 60611-3591
(312) 467-1519
Mailing address
5737 S UNIVERSITY AVE, CHICAGO, IL 60637-1507
(312) 467-1519
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
71004224
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01673559
BC BS PPO
IL
Enumeration date
05/18/2007
Last updated
07/08/2007
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