Organization
MARCIA S NICKOW LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA NICKOW PSYD (OWNER PRIVATE PRACTITIONER)
(847) 244-9772
Entity
Organization
Contact information
Practice address
25 E WASHINGTON ST STE 1811, CHICAGO, IL 60602-1830
(847) 244-9772
Mailing address
25 E WASHINGTON ST STE 1811, CHICAGO, IL 60602-1830
(847) 244-9772
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008022
IL
Other
Enumeration date
12/26/2012
Last updated
12/26/2012
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