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1760502058
P. DANIEL LE GRANGE
CHICAGO, IL
NPI
1760502058
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: IL 071005579)
Enumeration Date
2007-03-30
Last Update Date
2007-07-08
Business Address
-- P. DANIEL LE GRANGE PHD
5841 S MARYLAND AVE MC 3077
CHICAGO, IL 60637-1447
Phone number: 773-702-6751
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Mailing Address
-- P. DANIEL LE GRANGE PHD
180 HARVESTER DR SUITE 110
BURR RIDGE, IL 60527-5993
Phone number: 773-834-1061
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