Individual
JILL ROBINSON VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4421 N WOLCOTT AVE APT 1A, CHICAGO, IL 60640-5868
(440) 668-1276
Mailing address
4421 N WOLCOTT AVE APT 1A, CHICAGO, IL 60640-5868
(440) 668-1276
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071010622
IL
Other
Enumeration date
09/25/2021
Last updated
09/25/2021
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