Individual
MRS. AMY E DAHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3418 W 114TH ST, CHICAGO, IL 60655-3502
(773) 505-9033
Mailing address
3418 W 114TH ST, CHICAGO, IL 60655-3502
(773) 779-9033
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-003902
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180-003902
ILLINOIS DEPARTMENT OF PROFESSIONAL REGULATION
IL
Enumeration date
06/21/2009
Last updated
06/21/2009
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