Individual
CHRISTINE GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1030 N CLARK ST, CHICAGO, IL 60610-5467
(312) 238-7800
(312) 238-7801
Mailing address
345 E SUPERIOR ST, CHICAGO, IL 60611-2654
(312) 238-1000
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
IL
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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