Provider Demographics
NPI:1639567274
Name:SILLITTI, ROMITA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ROMITA
Middle Name:
Last Name:SILLITTI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5100 N MARINE DR
Mailing Address - Street 2:UNIT 15 L
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-3274
Mailing Address - Country:US
Mailing Address - Phone:312-330-3597
Mailing Address - Fax:
Practice Address - Street 1:5100 N MARINE DR
Practice Address - Street 2:UNIT 15 L
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-3274
Practice Address - Country:US
Practice Address - Phone:312-330-3597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-06
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071007564103TC0700X
IL271000120103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical