Individual
MS. EILEEN NIEMIERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD. LC.P.C.
Contact information
Practice address
10610 S CICERO AVE STE 4, OAK LAWN, IL 60453-5298
(708) 364-7046
(708) 364-7048
Mailing address
5101 W 105TH ST, OAK LAWN, IL 60453-5122
(708) 278-2839
(708) 422-2839
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180004583
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180004583
BCBSIL
IL
Enumeration date
03/28/2007
Last updated
02/15/2019
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