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1710255906
RICHARD MACUR BROUSIL
CHICAGO, IL
NPI
1710255906
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: IL 071.004678)
Enumeration Date
2011-12-02
Last Update Date
2011-12-02
Business Address
-- RICHARD MACUR BROUSIL Psy.D., LPHA
1501 S CALIFORNIA AVE
CHICAGO, IL 60608-1732
Phone number: 773-257-5315
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Mailing Address
-- RICHARD MACUR BROUSIL Psy.D., LPHA
1501 S CALIFORNIA AVE
CHICAGO, IL 60608-1732
Phone number: 773-257-5315
Copy
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