Organization
DC PSYCH CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH JEAN CHILES PSY. D. (CLINICAL DIRECTOR)
(708) 510-4755
Entity
Organization
Contact information
Practice address
3615 PARK DR, SUITE 203 B, OLYMPIA FIELDS, IL 60461-1186
(708) 510-4755
Mailing address
3615 PARK DR, SUITE 203 B, OLYMPIA FIELDS, IL 60461-1186
(708) 510-4755
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007594
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337564789100
—
IL
Enumeration date
05/27/2014
Last updated
05/27/2014
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