Organization · Type 2 NPI

Board of Trustees of the University of Illinois

Psychologist · Chicago, IL

NPI number 1316537889 Active

Practice location

912 S Wood St
Chicago, IL 60612-4300

Mailing address

7732 Solutions Center
Chicago, IL 60677-7007

Other practice locations

  • 1740 W Taylor St, Chicago, IL 60612-7232 · (312) 355-6468

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XNone listed
Behavioral Neurology & Neuropsychiatry Physician 2084B0040XNone listed

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1316537889

Board of Trustees of the University of Illinois's National Provider Identifier is 1316537889, issued on Jan 19, 2021. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Chicago, IL. The record was last updated on Feb 4, 2021.