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Organization

NORTHERN ILLINOIS COUNSELING ASSOCIATES, P.C.

Active
Other names
NICA
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CYNTHIA GELMAN (DIRECTOR OF OPERATIONS)
(815) 455-6736
Entity
Organization

Contact information

Practice address
600 SPRING HILL RING RD STE 116, WEST DUNDEE, IL 60118-7301
(815) 455-6736
(815) 455-9477
Mailing address
600 SPRING HILL RING RD STE 116, WEST DUNDEE, IL 60118-7301
(815) 455-6736
(815) 455-9477

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071-003663
IL
103TC0700X
Clinical Psychologist
Primary
071-004053
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0005615149
BCBS
Enumeration date
10/12/2007
Last updated
03/26/2024
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