Individual
DR. IDY BARASCH GITELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH. D..
Contact information
Practice address
2827 HARRISON STREET, EVANSTON, IL 60201-1217
(847) 475-5686
Mailing address
2827 HARRISON STREET, EVANSTON, IL 60201-1217
(847) 475-5686
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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