Individual
CHEMELY PAOLA POMALES ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
938 W NELSON ST, CHICAGO, IL 60657
(773) 296-3220
(773) 296-3226
Mailing address
938 W NELSON ST, CHICAGO, IL 60657-6704
(773) 296-3220
(773) 296-3226
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071009565
IL
Other
Enumeration date
09/02/2011
Last updated
02/05/2019
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