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1881996320
COLIN ENNIS
CHICAGO, IL
NPI
1881996320
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071008031)
Enumeration Date
2010-12-02
Last Update Date
2014-08-13
Business Address
Dr. COLIN ENNIS Psy.D.
53 W JACKSON BLVD 635
CHICAGO, IL 60604-3606
Phone number: 312-725-9745
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Mailing Address
Dr. COLIN ENNIS Psy.D.
3450 N LAKE SHORE DR 515
CHICAGO, IL 60657-2874
Phone number: 312-725-9745
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