Dr. James Todd Dubose
Clinical Psychologist
222 Merchandise Mart Plz Suite 13-659, Office # 1336
Chicago
, Illinois 60654-1103
Dr. James Todd Dubose
Clinical Psychologist
222 Merchandise Mart Plz Suite 13-659, Office # 1336
Chicago
, Illinois 60654-1103
(312) 329-6694
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. James Todd Dubose
- 325 North Wells Street
- Chicago, IL
- Zip : 60654
- Phone : (312) 329-6694
Second Address
- Dr. James Todd Dubose
- 222 Merchandise Mart Plz Suite 13-659, Office # 1336
- Chicago, IL
- Zip : 60654-1103
- Phone : (312) 329-6694
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 71007252 | IL |
| Y | 103TC0700X | Clinical Psychologist | 71007252 | IL |
National Provider Identifier
| NPI | 1013133479 |
|---|---|
| Provider Name | Dr. James Todd Dubose |
| First Address | Chicago, IL 60654 |
| Second Address | Chicago, IL 60654-1103 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/04/2007 |
| Last Update Date | 29/10/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.