Individual
GREGORY ANTHONY WASHINGTON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1417 LAWRENCE CRES, FLOSSMOOR, IL 60422-1716
(773) 544-8221
Mailing address
1417 LAWRENCE CRES, FLOSSMOOR, IL 60422-1716
(773) 544-8221
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
IL
Enumeration date
07/29/2022
Last updated
07/29/2022
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