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Organization
SOMETHINGS MEDICAL PA
Active
Organization
SOMETHINGS MEDICAL PA
Active
Other names
Somethings Medical of IL
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS NISSEN MD (PRESIDENT)
(949) 463-0650
Entity
Organization
Contact information
Practice address
846 75TH ST STE 115, WILLOWBROOK, IL 60527-7576
(347) 601-5896
Mailing address
447 BROADWAY FL 2, NEW YORK, NY 10013-2562
(347) 601-5896
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
175T00000X
Peer Specialist
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/08/2024
Last updated
05/27/2026
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