MEDICARE: GLORIA ARFELIS, PSY.D., P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	071-005862	IL

General Provider Information

NPI Number	:	1275839557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLORIA ARFELIS, PSY.D., P.C.

Provider Business Mailing Address
First Line	:	655 W IRVING PARK RD STE 202
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-4932
Country	:	US
Telephone Number	:	312-409-4879
Fax Number	:	773-248-3638

Provider Business Practice Location Address
First Line	:	655 W IRVING PARK RD STE 202
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-4932
Country	:	US
Telephone Number	:	312-409-4879
Fax Number	:	773-248-3638

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GLORIA ARFELIS
Credential	:
Telephone Number	:	312-409-4879

Provider Enumeration Date	:	02/02/2011
Last Update Date	:	02/02/2011

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