Jacques Gourguechon, Lpc
Specialty details in registry · Chicago, IL
At a glance
1454 W Farragut Ave, Chicago, IL 60640-2104
NPPES record updated May 15, 2015. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
- Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.
Practice location
1454 W Farragut AveChicago, IL 60640-2104
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 251S00000X
- Enumeration date
- May 15, 2015
- Record updated
- May 15, 2015
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
251S00000X · Primary
License reported: 178.010830 IL
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1454 W Farragut AveChicago, IL 60640-2104
- Phone
- (312) 203-9211
Mailing address
1454 W FARRAGUT AVECHICAGO, IL 606402104
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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