Individual
DR. PHYLLIS TOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
340 BUTTERFIELD RD, ELMHURST, IL 60126
(708) 743-5914
Mailing address
1359 NEWCASTLE AVE, WESTCHESTER, IL 60154
(708) 890-8332
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
071-007067
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071-007067
STATE LICENSE NUMBER
IL
Enumeration date
08/14/2007
Last updated
09/01/2015
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