Organization
INTEGRATIVESTRATEGIESRX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIA NIZIOLEK C.N.C. (OWNER)
(224) 489-6906
Entity
Organization
Contact information
Practice address
350 S NORTHWEST HWY, PARK RIDGE, IL 60068-4216
(224) 489-6906
Mailing address
PO BOX 1359, PARK RIDGE, IL 60068-7359
(224) 489-6906
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QG0250X
Genetics Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
305S00000X
Point of Service
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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