Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chicago Neuropsychological Services

Organization Clinical Neuropsychologist · NPI 1093074502

Chicago Neuropsychological Services is a Clinical Neuropsychologist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012

Practice location Address checks out

1 E Erie St Ste 353
Chicago, IL 60611-2740
Phone: (312) 863-3033
Fax: (312) 262-4880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 071004821 (IL)

Record details

NPI number1093074502
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Randolph — Director · (312) 863-3033
NPI enumeratedMay 4, 2012
Last updated in NPPESMay 4, 2012
Mailing address1 E Erie St, Suite 353, Chicago, IL 60611-2740

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