Reese Minshew LLC
Psychologist in Chicago, IL. Organization (NPI-2).
NPI number1114453545
StatusActive
Last updated in NPPESMay 4, 2017
Details
- NPI
- 1114453545
- Entity type
- Organization (NPI-2)
- Legal business name
- Reese Minshew LLC
- Organization subpart
- No
- Enumeration date
- May 4, 2017
- Last updated
- May 4, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 071009369 | IL | Yes |
Practice location
1300 W Belmont Ave214
Chicago, IL 60657-3200
Phone 773-683-1235
Mailing address
1300 W Belmont Ave214
Chicago, IL 60657-3200
Phone 773-683-1235
Authorized official
Reese Minshew
Owner
7736831235
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