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1316168412
JENINE LEE CHILES
CHICAGO, IL
NPI
1316168412
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071-006017)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
-- JENINE LEE CHILES Psy.D.
641 W 63RD ST SPECIALTY CLINIC, LOWER LEVEL
CHICAGO, IL 60621-2032
Phone number: 312-745-0662
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Mailing Address
-- JENINE LEE CHILES Psy.D.
2613 W SUPERIOR ST APT. #1
CHICAGO, IL 60612-1110
Phone number: 773-252-7199
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