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1558527531
COURTLAND BENJAMIN TISDALE
CHICAGO, IL
NPI
1558527531
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071007511)
Enumeration Date
2008-07-30
Last Update Date
2008-07-30
Business Address
-- COURTLAND BENJAMIN TISDALE Ph.D.
233 E ERIE ST STE 706
CHICAGO, IL 60611-2926
Phone number: 847-323-3593
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Mailing Address
-- COURTLAND BENJAMIN TISDALE Ph.D.
233 E ERIE ST STE 706
CHICAGO, IL 60611-2926
Phone number: 847-323-3593
Copy
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