Individual
NICHOLAS CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14210 S MARQUETTE AVE, CHICAGO, IL 60633-2025
(815) 278-7076
Mailing address
14210 S MARQUETTE AVE, CHICAGO, IL 60633-2025
(815) 278-7076
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
09/18/2024
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