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Organization

NIQUIE DWORKIN, INC

Active
Parent organization
NIQUIE DWORKIN, INC
Other names
Niquie Dworkin, PhD, Sc
Organization subpart
Yes

Provider details

NPI number
Legal business name
NIQUIE DWORKIN, INC
Authorized official
LISA N DWORKIN-CANTOR (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) 472-8587

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
08/04/2025
Last updated
08/04/2025
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