Individual
SANTI V MIRANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1401 S CALIFORNIA AVE, CHICAGO, IL 60608-1858
(773) 522-2010
Mailing address
PO BOX 7227, WESTCHESTER, IL 60154-7227
(708) 786-2900
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
071-003767
IL
103T00000X
Psychologist
Primary
071003767
IL
103TA0700X
Adult Development & Aging Psychologist
071-003767
IL
Other
Enumeration date
01/05/2007
Last updated
09/27/2017
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