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Organization

CRT MEDICAL PC

Active
Parent organization
CHILDREN'S RESEARCH TRIANGLE
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHILDREN'S RESEARCH TRIANGLE
Authorized official
DR. GWENDOLYN MESSER M.D. (MEDICAL DIRECTOR)
(312) 726-4011
Entity
Organization

Contact information

Practice address
70 E LAKE ST, FLOOR 13, CHICAGO, IL 60601-5959
(312) 726-4011
(312) 726-4021
Mailing address
70 E LAKE ST, FLOOR 13, CHICAGO, IL 60601-5959
(312) 726-4011
(312) 726-4021

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YP2500X
Professional Counselor
103T00000X
Psychologist
103TB0200X
Cognitive & Behavioral Psychologist
103TC0700X
Clinical Psychologist
103TC1900X
Counseling Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
103TM1800X
Intellectual & Developmental Disabilities Psychologist
106H00000X
Marriage & Family Therapist

Other

Enumeration date
02/10/2014
Last updated
11/18/2014
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