Provider Demographics
NPI:1275839557
Name:GLORIA ARFELIS, PSY.D., P.C.
Entity Type:Organization
Organization Name:GLORIA ARFELIS, PSY.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARFELIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-409-4879
Mailing Address - Street 1:655 W IRVING PARK RD STE 202
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-4932
Mailing Address - Country:US
Mailing Address - Phone:312-409-4879
Mailing Address - Fax:773-248-3638
Practice Address - Street 1:655 W IRVING PARK RD STE 202
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-4932
Practice Address - Country:US
Practice Address - Phone:312-409-4879
Practice Address - Fax:773-248-3638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-02
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071-005862103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty