Organization
SKNISIUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARON K. NISIUS PSY.D. (OWNER)
(224) 251-0084
Entity
Organization
Contact information
Practice address
1340 REMINGTON RD STE T, SCHAUMBURG, IL 60173-4821
(224) 251-0084
Mailing address
36 W FERN CT, PALATINE, IL 60067-7195
(224) 251-0084
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.004241
IL
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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