Organization
JONATHAN WEINBERG, PSY.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN WEINBERG PSY.D. (PRESIDENT)
(773) 935-5912
Entity
Organization
Contact information
Practice address
2518 N LINCOLN AVE, SUITE #204, CHICAGO, IL 60614-2782
(773) 935-5912
Mailing address
2518 N LINCOLN AVE, SUITE #204, CHICAGO, IL 60614-2782
(773) 935-5912
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0714149
IL
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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