Individual
DR. KIYA IMMERGLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
4200 N MARINE DR, #405, CHICAGO, IL 60613-1743
(773) 880-5492
Mailing address
4200 N MARINE DR, #405, CHICAGO, IL 60613-1743
(773) 880-5492
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
Other
Enumeration date
06/20/2010
Last updated
06/20/2010
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