Individual
CHELSEA SHOTWELL TABKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
325 S PAULINA ST FL 2, CHICAGO, IL 60612-3206
(312) 942-8387
(312) 563-1447
Mailing address
1645 W JACKSON BLVD STE 602, CHICAGO, IL 60612-2847
(312) 942-8387
(312) 563-1447
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071010769
IL
Other
Enumeration date
08/23/2013
Last updated
11/06/2025
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