Organization
CONSTANCE FULLILOVE, PH.D., LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONSTANCE ANITA FULLILOVE PH.D. (CLINICAL PSYCHOLOGIST)
(312) 560-1808
Entity
Organization
Contact information
Practice address
205 W RANDOLPH ST, SUITE 830, CHICAGO, IL 60606-1867
(312) 560-1808
Mailing address
205 W RANDOLPH ST, SUITE 830, CHICAGO, IL 60606-1867
(312) 560-1808
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
01/11/2007
Last updated
08/22/2020
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