Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Constance Anita Fullilove, PHD

Individual provider Clinical Psychologist · NPI 1235209529

Dr. Constance Anita Fullilove, PHD is a Clinical Psychologist in Chicago, Illinois. Qualified in 1977, 49 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
49
Licensed in
IL
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

205 W Randolph St Ste 830
Chicago, IL 60606-1815
Phone: (312) 236-1498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071-002239 (IL)

Record details

NPI number1235209529
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedNovember 8, 2006
Last updated in NPPESApril 23, 2021
Certification dateApril 23, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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