NPI 1902134778

Prudence L. Gourguechon, M.D. S.C.

Organisation Psychoanalyst Chicago, IL

Practice location

Address: 1454 W Farragut Ave, Chicago, IL 60640-2104
Phone: (773) 878-8082

Authorised official

Name: Prudence L Gourguechon
Title: President
Phone: (773) 878-8082

Registered specialties

Psychoanalyst Primary

Behavioral Health & Social Service Providers Taxonomy 102L00000X Licence 036062459 (IL)

Other Psychoanalyst providers in Illinois →

Registry record

NPI: 1902134778
Entity type: Organization
NPI issued: 6 Dec 2009
Record last updated: 6 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.