OrganizationActive
Chicago Neuropsychological Services
NPI 1093074502 · Clinical Neuropsychologist · Chicago, IL
Provider details
- NPI number
- 1093074502
- Entity type
- Organization
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Christopher Randolph, Director(312) 863-3033
- License
- 071004821 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1 E Erie St
Suite 353
Chicago, IL 60611-2740
Phone: (312) 863-3033
Fax: (312) 262-4880
Approximate (ZIP-level) locationGet directions
Mailing address
1 E Erie St
Chicago, IL 60611-2740
Registry dates
- Enumerated
- 2012-05-04
- Last updated
- 2012-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.