Organization
CHICAGO DEPRESSION AND ANXIETY SPECIALISTS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM S GILMER M.D. (PRESIDENT)
(312) 895-4431
Entity
Organization
Contact information
Practice address
330 W DIVERSEY PKWY APT 2707, CHICAGO, IL 60657-6209
(312) 985-4431
Mailing address
330 W DIVERSEY PKWY APT 2707, CHICAGO, IL 60657-6209
(312) 985-4431
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
042619464036076721
IL
Other
Enumeration date
02/26/2009
Last updated
02/26/2009
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