Individual
MS. GRETTA ELIZABETH CHAMBERLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 MAIN ST, MELROSE PARK, IL 60160-3902
(708) 786-8547
Mailing address
9762 S PROSPECT AVE, CHICAGO, IL 60643-1224
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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