Organization
SIV CONSULTATION, LLC
Active
Other names
SIV Consultation
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH ELIZABETH GORTON (OWNER)
(312) 905-3612
Entity
Organization
Contact information
Practice address
770 N HALSTED ST STE 105, CHICAGO, IL 60642-7886
(312) 298-9224
Mailing address
770 N HALSTED ST STE 105, CHICAGO, IL 60642-7886
(312) 298-9224
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071008428
IN
Other
Enumeration date
02/01/2016
Last updated
05/05/2025
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