Individual
DR. YVETTE GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 E 53RD ST, SUITE 425, CHICAGO, IL 60615-4557
(773) 991-3747
Mailing address
9617 S EMERALD AVE, CHICAGO, IL 60628-1002
(773) 606-2985
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18134
IL
Other
Enumeration date
02/23/2014
Last updated
02/23/2014
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