Individual
MR. MICHAEL WILLIAM HERSICK II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-8387
Mailing address
645 GARFIELD ST APT 2, OAK PARK, IL 60304-2082
(708) 616-3553
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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