Organization
EMDR GROUP OF CHICAGO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNA ZIELKE (OWNER)
(773) 837-6096
Entity
Organization
Contact information
Practice address
3838 N RAVENSWOOD AVE # 254, CHICAGO, IL 60613-5651
(773) 837-6096
Mailing address
4051 N MAPLEWOOD AVE, CHICAGO, IL 60618-3717
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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