Individual
MS. AMANDA NICHOLE GILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2425 W PRATT BLVD, CHICAGO, IL 60645-4665
(773) 338-5437
Mailing address
420 S CLINTON ST APT 114, CHICAGO, IL 60607-3811
(314) 304-3553
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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