Individual
MS. ERICA SIDENSTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, CADC
Contact information
Practice address
15350 OAK PARK AVE, OAK FOREST, IL 60452-1500
(708) 687-9200
(708) 687-9211
Mailing address
15350 OAK PARK AVE, OAK FOREST, IL 60452-1500
(708) 687-9200
(708) 687-9211
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.011583
IL
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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