Individual
ERIC NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
73 S RIVERSIDE DR, ELGIN, IL 60120-6452
(708) 240-3011
Mailing address
73 S RIVERSIDE DR, ELGIN, IL 60120-6452
(708) 240-3011
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180016109
IL
Other
Enumeration date
03/24/2022
Last updated
09/08/2025
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