Organization
DR THERESA GREGOIRE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA GREGOIRE PSY.D (OWNER)
(773) 771-8759
Entity
Organization
Contact information
Practice address
1525 E 53RD ST, SUITE 605, CHICAGO, IL 60615-4557
(773) 771-8759
Mailing address
1525 E 53RD ST, SUITE 605, CHICAGO, IL 60615-4557
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008969
IL
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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