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Individual

DR. TIFFANY DELL'AQUILA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
1711 N CLEVELAND AVE, CHICAGO, IL 60614-5602
(773) 255-4200
Mailing address
PO BOX 3592, MUNSTER, IN 46321-0592
(773) 255-4200

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008018
IL

Other

Enumeration date
11/26/2014
Last updated
11/26/2014
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