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1699061390
MICHAEL RICHARD BLACK
CHICAGO, IL
NPI
1699061390
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: IL 071008134)
Enumeration Date
2011-06-22
Last Update Date
2022-05-13
Business Address
Dr. MICHAEL RICHARD BLACK PsyD
3139 N LINCOLN AVE STE 221
CHICAGO, IL 60657-3122
Phone number: 773-458-0585
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Mailing Address
Dr. MICHAEL RICHARD BLACK PsyD
2230 N KOSTNER AVE
CHICAGO, IL 60639-3532
Phone number: 773-278-2643
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