Individual
CHRISTY QUEROL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3432 W DIVERSEY AVE FL 2, CHICAGO, IL 60647-1221
(312) 380-1747
Mailing address
3432 W DIVERSEY AVE FL 2, CHICAGO, IL 60647-1221
(786) 325-3006
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071010556
IL
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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