COURTLAND BENJAMIN TISDALE

CHICAGO, IL
NPI1558527531
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: IL  071007511)
Enumeration Date2008-07-30
Last Update Date2008-07-30
Business Address
-- COURTLAND BENJAMIN TISDALE Ph.D.
233 E ERIE ST STE 706
CHICAGO, IL 60611-2926
Phone number: 847-323-3593
Mailing Address
-- COURTLAND BENJAMIN TISDALE Ph.D.
233 E ERIE ST STE 706
CHICAGO, IL 60611-2926
Phone number: 847-323-3593