Provider Demographics
NPI:1700091121
Name:GILYOT-MONTGOMERY, ERIKA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:
Last Name:GILYOT-MONTGOMERY
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 1:1108 LINDEN AVE
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-1243
Mailing Address - Country:US
Mailing Address - Phone:773-750-3819
Mailing Address - Fax:708-383-6948
Practice Address - Street 1:7001 NORTH AVE
Practice Address - Street 2:STE 201
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302-1025
Practice Address - Country:US
Practice Address - Phone:773-750-3819
Practice Address - Fax:708-383-6948
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071005816103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical