Individual
DR. MARCY ALLISON RUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
2770 N WOLCOTT AVE, UNIT G, CHICAGO, IL 60614-1078
(773) 616-9188
(773) 388-9188
Mailing address
2770 N WOLCOTT AVE, UNIT G, CHICAGO, IL 60614-1078
(773) 616-9188
(773) 388-9188
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11591012
CAQH
IL
Enumeration date
02/09/2007
Last updated
07/08/2007
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