LISA MEDALIE

EVANSTON, IL
NPI1609175744
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103G00000X Clinical Neuropsychologist
(Licence: IL  071.008089)
Enumeration Date2011-03-15
Last Update Date2024-03-29
Business Address
DR. LISA MEDALIE PSYD, CBSM
1101 DAVIS ST
EVANSTON, IL 60201-5945
Phone number: 773-702-6169
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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