Individual
GRETCHEN A BOULES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
33 S GARFIELD AVE, HINSDALE, IL 60521
(630) 321-9809
Mailing address
200 S FRONTAGE RD STE 324, BURR RIDGE, IL 60527-6953
(630) 321-9809
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
071005051
IL
103TC0700X
Clinical Psychologist
071005051
IL
103TP0016X
Prescribing (Medical) Psychologist
Primary
074.000005
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001621856
BC BS OF IL
IL
Enumeration date
09/14/2006
Last updated
06/16/2026
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