PRUDENCE L. GOURGUECHON, M.D. S.C.

CHICAGO, IL
NPI1902134778
Entity TypeOrganization
Authorized ContactPRUDENCE L GOURGUECHON
President
773-878-8082
Organization Subpart ?No
Primary Taxonomy102L00000X Psychoanalyst
(Licence: IL  036062459)
Enumeration Date2009-12-06
Last Update Date2009-12-06
Business Address
PRUDENCE L. GOURGUECHON, M.D. S.C.
1454 W FARRAGUT AVE
CHICAGO, IL 60640-2104
Phone number: 773-878-8082
Mailing Address
PRUDENCE L. GOURGUECHON, M.D. S.C.
1454 W FARRAGUT AVE
CHICAGO, IL 60640-2104
Phone number: 773-878-8082