MICHAEL RICHARD BLACK

CHICAGO, IL
NPI1699061390
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: IL  071008134)
Enumeration Date2011-06-22
Last Update Date2022-05-13
Business Address
DR. MICHAEL RICHARD BLACK PSYD
3139 N LINCOLN AVE STE 221
CHICAGO, IL 60657-3122
Phone number: 773-458-0585
Mailing Address
DR. MICHAEL RICHARD BLACK PSYD
2230 N KOSTNER AVE
CHICAGO, IL 60639-3532
Phone number: 773-278-2643
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