Organization
NIQUIE DWORKIN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA NICOLE DWORKIN-CANTOR PHD (PRESIDENT)
(773) 405-7169
Entity
Organization
Contact information
Practice address
3322 N ASHLAND AVE, CHICAGO, IL 60657-0195
(773) 472-8587
Mailing address
3322 N ASHLAND AVE, CHICAGO, IL 60657-0195
(773) 405-7169
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/06/2023
Last updated
10/10/2023
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