JAY LEBOW

EVANSTON, IL
NPI1669595211
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: IL  071-002024)
Enumeration Date2007-04-09
Last Update Date2007-07-08
Business Address
-- JAY LEBOW Ph.D.
618 LIBRARY PL
EVANSTON, IL 60201-2908
Phone number: 847-733-4300
Mailing Address
-- JAY LEBOW Ph.D.
931 MAPLE AVE
EVANSTON, IL 60202-1717
Phone number: 847-612-2339
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