Organization
INTRASPECTRUM COUNSELING, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE L. GAYLE PH.D. (PRESIDENT)
(847) 363-5088
Entity
Organization
Contact information
Practice address
180 N MICHIGAN AVE, SUITE 2421, CHICAGO, IL 60601-7401
(847) 363-5088
(773) 961-8804
Mailing address
180 N MICHIGAN AVE, SUITE 2421, CHICAGO, IL 60601-7401
(847) 363-5088
(773) 961-8804
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007587
IL
Other
Enumeration date
05/15/2010
Last updated
05/15/2010
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