Individual
DR. GAIL S PETRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
30 N MICHIGAN AVE STE 1900, CHICAGO, IL 60602-3624
(708) 524-0171
(708) 524-4699
Mailing address
212 S HUMPHREY AVE, OAK PARK, IL 60302-3327
(708) 524-0171
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-006029
IL
Other
Enumeration date
03/31/2007
Last updated
08/11/2014
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