Organization
DAWN LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLYSE STURDIVANT WILLIAMS PHD (OWNER/PSYCHOLOGIST)
(773) 680-0442
Entity
Organization
Contact information
Practice address
30 N MICHIGAN AVE STE 726, CHICAGO, IL 60602-3807
(773) 951-1177
Mailing address
10015 S KING DR, CHICAGO, IL 60628-2131
(773) 680-0442
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
071008324
IL
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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