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1609175744
LISA MEDALIE
EVANSTON, IL
NPI
1609175744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103G00000X Clinical Neuropsychologist
(Licence: IL 071.008089)
Enumeration Date
2011-03-15
Last Update Date
2024-03-29
Business Address
Dr. LISA MEDALIE PsyD, CBSM
1101 DAVIS ST
EVANSTON, IL 60201-5945
Phone number: 773-702-6169
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Mailing Address
Dr. LISA MEDALIE PsyD, CBSM
1101 DAVIS ST STE 5767
EVANSTON, IL 60201-5945
Phone number: 844-475-3379
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