Organization
LAURA VAN DUSEN M.D. S.C.
Active
Organization
LAURA VAN DUSEN M.D. S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA VAN DUSEN VAN DUSEN M.D. (PRESIDENT)
(847) 296-3442
Entity
Organization
Contact information
Practice address
1440 RENAISSANCE DR, SUITE 200, PARK RIDGE, IL 60068-1356
(847) 296-3442
(847) 296-3543
Mailing address
1440 RENAISSANCE DR, SUITE 200, PARK RIDGE, IL 60068-1356
(847) 296-3442
(847) 296-3543
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036103137
IL
Other
Enumeration date
10/09/2006
Last updated
11/07/2010
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