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1013276880
ELLEN DIAMOND
HIGHLAND PARK, IL
NPI
1013276880
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Entity Type
Organization
Authorized Contact
LANA MOSHKOVICH
Cmm, Cpc,Cemp
847-904-7500
Organization Subpart ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: IL 071004187)
Enumeration Date
2012-05-14
Last Update Date
2012-05-14
Business Address
ELLEN DIAMOND
1866 SHERIDAN RD STE 207
HIGHLAND PARK, IL 60035-2545
Phone number: 847-433-3815
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Mailing Address
ELLEN DIAMOND
1866 SHERIDAN RD STE 207
HIGHLAND PARK, IL 60035-2545
Phone number: 847-433-3815
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