Individual
DR. THERESA M GREGOIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
1525 E 53RD ST, SUITE 605, CHICAGO, IL 60615-4557
(773) 377-5440
Mailing address
1525 E 53RD ST, SUITE 605, CHICAGO, IL 60615-4557
(773) 377-5440
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180.008333
IL
103T00000X
Psychologist
Primary
071008969
IL
Other
Enumeration date
06/04/2013
Last updated
04/21/2017
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