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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHAEL RICHARD BLACK, PSYD

Active Sole Proprietor

DR. MICHAEL RICHARD BLACK, PSYD is a Psychologist healthcare provider located in CHICAGO, Illinois. NPI 1699061390 is currently active in the NPPES registry. Verify at CMS.

Psychologist · CHICAGO, IL

Registration Details

NPI Number
1699061390
Provider Type
Individual
Gender
Male
NPI Issued
Jun 22, 2011 (15.15363060679 yrs)
Last Updated
May 13, 2022
License
071008134 (IL)
Sole Proprietor
Yes

Practice Information

Address
3139 N LINCOLN AVE STE 221
CHICAGO, IL, 606573122
Browse IL providers · Browse ZIP 60657
Phone
7734580585
Fax
9999999999
Primary Specialty
Psychologist
103T00000X

Other Psychologist Providers in CHICAGO, IL

Name Credential NPI
ANDREA FINK PH.D. 1255330130
DR. MARY E. WORDEN PSYD 1578546156
MS. MARY HOLLIS JOHNSTON PH.D. 1790760023
TIMOTHY STERZIK PSY.D. 1306822630
DR. KAREN J. RUPAR PSY.D. 1811973175
DR. LORI R GRIFO PSY.D. 1609853969
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.