Laura Marie Van Dusen, MD
Psychiatry & Neurology, Psychiatry in Park Ridge, IL. Individual provider (NPI-1).
NPI number1710072996
StatusActive
Last updated in NPPESMay 13, 2013
Details
- NPI
- 1710072996
- Entity type
- Individual (NPI-1)
- Name
- Laura Marie Van Dusen
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2006
- Last updated
- May 13, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 036103137 | IL | Yes |
Practice location
1440 Renaissance DrSuite 200
Park Ridge, IL 60068-1472
Phone 847-296-3442 · Fax 847-296-3543
Mailing address
1440 Renaissance DrSuit 200
Park Ridge, IL 60068-1472
Phone 847-296-3442 · Fax 847-296-3543
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