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Individual

GREG DZIEDZIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRC, LPC

Contact information

Practice address
6650 N NORTHWEST HWY, CHICAGO, IL 60631-1307
(773) 313-3757
Mailing address
6650 N NORTHWEST HWY STE 215, CHICAGO, IL 60631-1363
(773) 313-3757

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary
178.018635
IL

Other

Enumeration date
02/03/2023
Last updated
02/03/2023
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