Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Constance A. Fullilove, PHD Ltd

Organization Mental Health Counselor · NPI 1932022134

Constance A. Fullilove, PHD Ltd provides Mental Health Counselor services in Chicago, Illinois. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4742 S Ellis Ave Apt 1
Chicago, IL 60615-1821
Phone: (312) 560-1808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1932022134
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Constance Fullilove, Ph.D. Ltd — Owner · (312) 560-1808
NPI enumeratedAugust 3, 2026
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026
Mailing address4742 S Ellis Ave Apt 1, Chicago, IL 60615-1821

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