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Desonta Tillman
Mental Health Counselor in Chicago, Illinois
NPI 1477018018

Desonta Tillman is a Mental Health Counselor based in Chicago, IL and is specialized in Mental Health. Desonta Tillman practices in Chicago, IL. The NPI Number for Desonta Tillman is 1477018018 and holds a License No. (Illinois).

The current practice location address for Desonta Tillman is 2930 S Michigan Ave Ste 100, Chicago, IL and can be reached out via phone at 773-819-5504.

Location: 2930 S Michigan Ave Ste 100, Chicago, IL, 60637-4708
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Provider Profile Details
NPI Number
1477018018
Provider Name
Desonta Tillman
Credential
Provider Entity Type
Individual
Gender
Female
Address
2930 S Michigan Ave Ste 100, Chicago, IL, 60637-4708
Phone Number
773-819-5504
Fax Number
Provider Enumeration Date
02/07/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101YM0800X 05 IL
institution
Provider Business Practice Location Address Details
Address
2930 S Michigan Ave Ste 100
City
State
Zip
60616-3484
Phone Number
773-819-5504
Fax Number
person
Provider Business Mailing Address Details
Address
2930 S Michigan Ave Ste 100
City
State
Zip
60616-3484
Phone Number
773-819-5504
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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