Individual
KRISTINE GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1048 W. OGDEN RD, STE 130, DOWNERS GROVE, IL 60515
(630) 810-1200
Mailing address
1650 TIMBER TRL, WHEATON, IL 60189-6145
(708) 305-0344
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.011706
IL
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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