Individual
KELLY GRACE ARTEAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4256 N RAVENSWOOD AVE, STE 302, CHICAGO, IL 60613-1114
(619) 757-5818
Mailing address
4256 N RAVENSWOOD AVE, STE 302, CHICAGO, IL 60613-1114
(619) 757-5818
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008863
IL
Other
Enumeration date
01/31/2015
Last updated
02/01/2015
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