Constance Fullilove, Ph.D., Ltd.

LBN: Constance Fullilove, Ph.D., Ltd.
Constance Fullilove, Ph.D., Ltd. is an health care organization with primary practice located at 205 W Randolph St Suite 830, Chicago IL 60606-1867. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Constance Fullilove, Ph.D., Ltd. can be contacted via phone (312) 560-1808, or through Fullilove, Constance Anita via phone (312) 560-1808.

Contact Information

Primary practice address
205 W Randolph St Suite 830 Chicago IL 60606-1867
Phone: (312) 560-1808
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fullilove, Constance Anita PH.D.
Phone: (312) 560-1808

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X Illinois

Profile Details

NPI number 1851441984
LBN Legal business name Constance Fullilove, Ph.D., Ltd.
DBA Doing business as
Authorized official Fullilove, Constance Anita PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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