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Individual

DR. DANIEL F O'GRADY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
25 E WASHINGTON ST, SUITE 1201, CHICAGO, IL 60602-1708
(312) 984-0417
(312) 456-3036
Mailing address
25 E WASHINGTON ST, SUITE 1201, CHICAGO, IL 60602-1708
(312) 984-0417
(312) 456-3036

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071003648
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
149688
VALUE OPTIONS
IL
Enumeration date
03/12/2007
Last updated
07/08/2007
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