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1619970357
RAY EDWARD QUACKENBUSH
CHICAGO, IL
NPI
1619970357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071-006293)
Enumeration Date
2005-05-26
Last Update Date
2007-07-08
Business Address
Dr. RAY EDWARD QUACKENBUSH Psy.D.
4801 W PETERSON AVE STE 525
CHICAGO, IL 60646-5731
Phone number: 773-286-3100
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Mailing Address
Dr. RAY EDWARD QUACKENBUSH Psy.D.
4801 W PETERSON AVE STE 525
CHICAGO, IL 60646-5731
Phone number: 773-286-3100
Copy
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