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

CONSTANCE A FULLILOVE PHD LTD
NPI 1932022134
Counselor - Mental Health in Chicago, IL

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 25, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 25, 2026, Aug 3, 2026 (2 updates tracked since 2026).

About Constance A Fullilove Phd Ltd NPPES

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

CONSTANCE A FULLILOVE PHD 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 Phd Ltd, Owner, as its authorized official.

NPPES Registry Identity

NPI1932022134
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCONSTANCE A FULLILOVE PHD LTD
Location Address4742 S ELLIS AVE APT 1Chicago, IL 60615-1821
Mailing Address4742 S Ellis Ave Apt 1Chicago, IL 60615-1821 · (312) 560-1808
Organization SubpartNo
Authorized OfficialConstance A Fullilove Phd LtdOwner · (312) 560-1808
Enumeration DateAugust 3, 2026
Last NPPES UpdateAugust 25, 20262 updates tracked since enumeration
NPPES CertifiedAugust 25, 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

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 Phd Ltd's NPI number?

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

Where is Constance A Fullilove Phd Ltd located?

Constance A Fullilove Phd 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 Phd 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 Phd Ltd was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.