Individual
DR. ANGELA DEON GILLHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
800 W 5TH AVE, 100G, NAPERVILLE, IL 60563-8965
(312) 498-4113
Mailing address
800 W 5TH AVE, 100G, NAPERVILLE, IL 60563-8965
(312) 498-4113
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2232522
BLUE CROSS BLUE SHIELD
IL
01
—
2254200
CIGNA
IL
01
—
266818
COMPSYCH
IL
Enumeration date
01/19/2007
Last updated
07/08/2007
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