Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CONSTANCE A. FULLILOVE, PH.D. LTD.
NPI 1932022134
Counselor - Mental Health in Chicago, IL

Q: What is Constance A. Fullilove, Ph.D. Ltd.'s NPI number?

The NPI number for Constance A. Fullilove, Ph.D. Ltd. is 1932022134. It was assigned to this organization in the NPPES registry on August 3, 2026.

Q: What is Constance A. Fullilove, Ph.D. Ltd.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since August 03, 2026

4742 S ELLIS AVE APT 1, CHICAGO, IL 60615(312) 560-1808 Get Directions Write a Review

NPPES record added: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Constance A. Fullilove, Ph.d. Ltd. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONSTANCE A. FULLILOVE, PH.D. LTD. (NPI 1932022134) is a healthcare organization registered as a mental health in Chicago, Illinois and active in the NPI registry since August 2026. The organization lists Constance A. Fullilove, Ph.d. Ltd, Owner, as its authorized official.

NPPES Registry Identity

NPI1932022134

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameCONSTANCE A. FULLILOVE, PH.D. LTD.

Location Address4742 S ELLIS AVE APT 1Chicago, IL 60615-1821

Mailing Address4742 S Ellis Ave Apt 1Chicago, IL 60615-1821 · (312) 560-1808

Phone(312) 560-1808

Organization SubpartNo

Authorized OfficialConstance A. Fullilove, Ph.d. LtdOwner · (312) 560-1808

Enumeration DateAugust 3, 2026

NPPES CertifiedAugust 3, 2026

✔ NPI 1932022134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

4742 S ELLIS AVE APT 1, Chicago, IL 60615

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Constance A. Fullilove, Ph.D. Ltd.'s NPI number?

The NPI number for Constance A. Fullilove, Ph.D. Ltd. is 1932022134. It was assigned to this organization in the NPPES registry on August 3, 2026.

Where is Constance A. Fullilove, Ph.D. Ltd. located?

Constance A. Fullilove, Ph.D. Ltd. is located at 4742 S Ellis Ave Apt 1, Chicago, IL 60615. The listed phone number is (312) 560-1808.

What is Constance A. Fullilove, Ph.D. Ltd.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Constance A. Fullilove, Ph.D. Ltd. was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.