Individual
DR. ELYSE SOMERS ROCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
737 N MICHIGAN AVE STE 1925, CHICAGO, IL 60611-5422
(312) 283-2650
Mailing address
1523 W AUGUSTA BLVD APT 1, CHICAGO, IL 60642-3949
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009697
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
01/09/2018
Last updated
01/09/2018
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