| Siv Consultation, Llc | |
|
770 N Halsted St Ste 105 Chicago IL 60642-7886 | |
| (312) 298-9224 | |
| Not Available |
| Full Name | Siv Consultation, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 770 N Halsted St Ste 105, Chicago, Illinois |
| Authorized Official Name and Position | Deborah Elizabeth Gorton (OWNER) |
| Authorized Official Contact | 3129053612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Siv Consultation, Llc 770 N Halsted St Ste 105 Chicago IL 60642-7886 Ph: (312) 298-9224 | Siv Consultation, Llc 770 N Halsted St Ste 105 Chicago IL 60642-7886 Ph: (312) 298-9224 |
| NPI Number | 1346608718 |
|---|---|
| Provider Enumeration Date | 02/01/2016 |
| Last Update Date | 05/05/2025 |
| Certification Date | 05/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346608718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 071008428 (Indiana) | Primary |
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