Individual
DR. GREGORY J HARMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D., LCP
Contact information
Practice address
655 W IRVING PARK RD, SUITE 203, CHICAGO, IL 60613-3123
(773) 528-1777
Mailing address
4203 N SHERIDAN RD APT 3N, CHICAGO, IL 60613-1676
(773) 983-1479
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180.008990
IL
103T00000X
Psychologist
3500-57
WI
103TC0700X
Clinical Psychologist
Primary
071.009626
IL
103TH0100X
Health Service Psychologist
20043088A
IN
Other
Enumeration date
05/01/2014
Last updated
01/31/2019
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