| Dr Theresa Gregoire Ltd | |
|
1525 E 53rd St Suite 605 Chicago IL 60615-4557 | |
| (773) 771-8759 | |
| Not Available |
| Full Name | Dr Theresa Gregoire Ltd |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1525 E 53rd St, Chicago, Illinois |
| Authorized Official Name and Position | Theresa Gregoire (OWNER) |
| Authorized Official Contact | 7737718759 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Theresa Gregoire Ltd 1525 E 53rd St Suite 605 Chicago IL 60615-4557 Ph: () - | Dr Theresa Gregoire Ltd 1525 E 53rd St Suite 605 Chicago IL 60615-4557 Ph: (773) 771-8759 |
| NPI Number | 1891229662 |
|---|---|
| Provider Enumeration Date | 04/18/2017 |
| Last Update Date | 04/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891229662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071008969 (Illinois) | Primary |
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