Individual
NAN ROTHROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
250 E SUPERIOR ST, CHICAGO, IL 60611-2914
(312) 503-3514
Mailing address
625 N MICHIGAN AVE STE 2700, CHICAGO, IL 60611-3110
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
71006884
IL
Other
Enumeration date
02/13/2012
Last updated
02/13/2012
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