Quackenbush, Ray Edward

Quackenbush, Ray Edward is an individual health care provider with primary practice located at 4801 W Peterson Ave Ste 525, Chicago IL 60646-5731. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Quackenbush, Ray Edward can be contacted via phone (773) 286-3100.

Contact Information

Primary practice address
4801 W Peterson Ave Ste 525 Chicago IL 60646-5731
Phone: (773) 286-3100
Fax: (773) 777-7543
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X Illinois

Profile Details

NPI number 1619970357
LBN Legal business name Quackenbush, Ray Edward
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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