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Individual

DR. JOHN TODD GILBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD.

Contact information

Practice address
5730 W. ROOSEVELT RD., CHICAGO, IL 60644
(773) 413-1720
(773) 413-1725
Mailing address
5730 W. ROOSEVELT RD., CHICAGO, IL 60644
(773) 413-1720
(773) 413-1725

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3713-125
WI
103TC0700X
Clinical Psychologist
Primary
071007665
IL

Other

Enumeration date
12/28/2006
Last updated
12/21/2009
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