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1033763644
LUKE ANTHONY MUDD
CHICAGO, IL
NPI
1033763644
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: IL 071008485)
Enumeration Date
2019-07-31
Last Update Date
2019-07-31
Business Address
LUKE ANTHONY MUDD PsyD
325 N WELLS ST
CHICAGO, IL 60654-7024
Phone number: 312-659-8896
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Mailing Address
LUKE ANTHONY MUDD PsyD
464 CROSS ARM DR
GRAYSLAKE, IL 60030-2762
Phone number: 312-659-8896
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