MEDICARE: DR. YUH-JIN (JEAN) TZOU PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	071008076	IL

General Provider Information

NPI Number	:	1770888679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YUH-JIN (JEAN) TZOU PH.D.

Provider Business Mailing Address
First Line	:	30 N MICHIGAN AVE STE 1820
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60602-3639
Country	:	US
Telephone Number	:	312-813-2111
Fax Number	:	312-567-5866

Provider Business Practice Location Address
First Line	:	30 N MICHIGAN AVE STE 1820
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60602-3639
Country	:	US
Telephone Number	:	312-813-2111
Fax Number	:	312-567-5866

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2011
Last Update Date	:	04/19/2011

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