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1124271150
CARLOS QUEZADA-GOMEZ
CHICAGO, IL
NPI
1124271150
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Former Name
CHARLES CHRISTOPHER HUTTON
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071-005888)
Enumeration Date
2008-11-04
Last Update Date
2021-04-28
Business Address
Dr. CARLOS QUEZADA-GOMEZ Psy.D.
2800 S CALIFORNIA AVE CERMAK HEALTH SERVICES
CHICAGO, IL 60608-5107
Phone number: 773-869-5617
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Mailing Address
Dr. CARLOS QUEZADA-GOMEZ Psy.D.
1415 SHERMAN AVE APT 507
EVANSTON, IL 60201-4467
Phone number: 312-550-1134
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