Organization
CHICAGO DBT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS JOHN SOTOR PSYD (OWNER)
(503) 908-4691
Entity
Organization
Contact information
Practice address
3166 N LINCOLN AVE STE 214A, CHICAGO, IL 60657-3119
(503) 908-4691
(503) 200-1146
Mailing address
3166 N LINCOLN AVE STE 214A, CHICAGO, IL 60657-3119
(503) 908-4691
(503) 200-1146
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009608
IL
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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