Individual
DR. MAURICE ENDSLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1858 W HURON ST, APT 2F, CHICAGO, IL 60622-5526
(314) 479-7596
Mailing address
1858 W HURON ST, APT 2F, CHICAGO, IL 60622-5526
(314) 479-7596
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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