Individual
DR. CRISTINA ANTONUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
5536 S EVERETT AVE, CHICAGO, IL 60637-1902
(312) 715-8174
Mailing address
5536 S EVERETT AVE, CHICAGO, IL 60637-1902
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
071.009166
IL
103TC0700X
Clinical Psychologist
Primary
071.009166
IL
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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