Individual
ELWOOD P NYTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, MAC
Contact information
Practice address
8251 S RHODES AVE, CHICAGO, IL 60619-5005
(773) 818-9607
(866) 240-8885
Mailing address
8251 S RHODES AVE, CHICAGO, IL 60619-5005
(773) 783-5231
(866) 240-8885
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
149004694
IL
101YM0800X
Mental Health Counselor
149004694
IL
101YP1600X
Pastoral Counselor
—
IL
1041C0700X
Clinical Social Worker
Primary
149004694
IL
Other
Enumeration date
08/04/2006
Last updated
03/11/2010
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