Individual
DR. MARY VIRGINIA GUILLET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3001 GREEN BAY RD, PSYCHOLOGY SERVICE 116B, NORTH CHICAGO, IL 60064-3048
(224) 610-3493
Mailing address
3001 GREEN BAY RD, PSYCHOLOGY SERVICE 116B, NORTH CHICAGO, IL 60064-3048
(224) 610-3493
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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