Organization
CHICAGO NERD THERAPY, PLLC
Active
Organization
CHICAGO NERD THERAPY, PLLC
Active
Other names
Chicago Nerd Therapy, PLLC, Keystone Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC KOLL LCSW (CLINICAL SOCIAL WORKER)
(312) 270-0098
Entity
Organization
Contact information
Practice address
5230 N MOBILE AVE, CHICAGO, IL 60630-1010
(312) 270-0098
Mailing address
4306 N LINCOLN AVE UNIT 2F, CHICAGO, IL 60618-1712
(312) 270-0098
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/20/2021
Last updated
09/20/2023
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