Colin Ennis PSY.D.

NPI 1881996320 - Psychologist - 103TC0700X

NPI Details
NPI 1881996320
Gender Male
Enumeration Date 12/02/2010
Last Updated 08/13/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
53 W JACKSON BLVD
635
CHICAGO IL, 60604-3606, US
Phone (312) 725-9745
Fax (312) 488-3642
Business Location
3450 N LAKE SHORE DR
515
CHICAGO IL, 60657-2874, US
Phone (312) 725-9745
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Illinois
License Number 071008031
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According to our database, Dr. Colin Ennis PSY.D. NPI is 1881996320, taxonomy code is 103TC0700X and license number is 071008031, license state is located at Illinois. Colin Ennis PSY.D. physically located at 53 W Jackson Blvd, Chicago IL, 60604-3606. NPI Number Colin Ennis PSY.D. has the Individual type.

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1881996320 NPI number is provided on an as is basis without warranty of any kind. 1881996320 is maintained by the National Plan & Provider Enumeration System. The contents of Colin Ennis PSY.D. are for informational purposes only.