Gather Sparks Corporation
Gather Sparks Corporation provides Clinical Psychologist services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2010.
- Licensed in
- IL
- In the registry since
- 2010
Practice location Address checks out
180 N Michigan Ave Ste 1910CChicago, IL 60601-7401 Not confirmed with CMS for 15 years — call before visiting
Phone: (312) 859-6512
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Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence 071005566 (IL) |
|---|
Record details
| NPI number | 1205154762 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Colombatto — Clinical Psychologist · (312) 859-6512 |
| NPI enumerated | May 8, 2010 |
| Last updated in NPPES | December 3, 2010 |
| Mailing address | 600 S Dearborn St Apt 1211, Chicago, IL 60605-1895 |
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