| Siv Consultation | |
|
820 N Lasalle St Chicago IL 60610 | |
| (312) 905-3612 | |
| Not Available |
| Full Name | Siv Consultation |
|---|---|
| Speciality | Psychologist |
| Location | 820 N Lasalle St, Chicago, Illinois |
| Authorized Official Name and Position | Deborah E Gorton (CLINICAL PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 3129053612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Siv Consultation 1900 S Halsted St 2f Chicago IL 60608-3417 Ph: (312) 905-3612 | Siv Consultation 820 N Lasalle St Chicago IL 60610 Ph: (312) 905-3612 |
| NPI Number | 1346608718 |
|---|---|
| Provider Enumeration Date | 02/01/2016 |
| Last Update Date | 02/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346608718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 071008428 (Indiana) | Primary |
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