Organization
FERMATA PSYCHOTHERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANTIAGO DELBOY (PRESIDENT)
(312) 520-6096
Entity
Organization
Contact information
Practice address
53 W JACKSON BLVD STE 1450, CHICAGO, IL 60604-3535
(312) 725-6192
Mailing address
53 W JACKSON BLVD STE 1632, CHICAGO, IL 60604-3734
(312) 520-6096
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.019286
IL
Other
Enumeration date
06/06/2018
Last updated
04/08/2025
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