Gittelson, Tamara Judith

Gittelson, Tamara Judith is an sole proprietor health care provider with primary practice located at 4311 N Ravenswood Ave Ste 309 , Chicago IL 60613-1192. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychoanalyst, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Gittelson, Tamara Judith can be contacted via phone (206) 351-2655.

Contact Information

Primary practice address
4311 N Ravenswood Ave Ste 309 Chicago IL 60613-1192
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180.008767 Illinois
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X 180.008767 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.008767 Illinois

Profile Details

NPI number 1942506381
LBN Legal business name Gittelson, Tamara Judith
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2011
Last updated Apr 21st, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942506381 NPPES
Illinois Other 1629688254 NPI TYPE 2

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