Concodora, Gregory Clement

Concodora, Gregory Clement is an sole proprietor health care provider with primary practice located at 5100 N Ravenswood Ave Suite 238, Chicago IL 60640-1710. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Concodora, Gregory Clement can be contacted via phone (718) 483-4841.

Contact Information

Primary practice address
5100 N Ravenswood Ave Suite 238 Chicago IL 60640-1710
Phone: (718) 483-4841
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071009527 Illinois
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 071009527 Illinois

Profile Details

NPI number 1053846881
LBN Legal business name Concodora, Gregory Clement
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2017
Last updated Apr 30th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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