Organization
SUE BAE, PHD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUE BAE PHD (OWNER)
(866) 441-1591
Entity
Organization
Contact information
Practice address
405 N WABASH AVE, SUITE 4507, CHICAGO, IL 60611-3591
(866) 441-1591
(866) 441-1136
Mailing address
405 N WABASH AVE, SUITE 4507, CHICAGO, IL 60611-3591
(866) 441-1591
(866) 441-1136
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006930
IL
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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