Individual
NUALA GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2248 S MICHIGAN AVE, CHICAGO, IL 60616-5258
(847) 909-8633
Mailing address
2248 S MICHIGAN AVE, CHICAGO, IL 60616-5258
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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