Individual
MICHELLE PATRICIA SIERZEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
910 SKOKIE BLVD STE 215, NORTHBROOK, IL 60062-4033
(847) 480-0300
Mailing address
2692 LONGVIEW DR, LISLE, IL 60532-3234
(630) 272-1837
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.010101
IL
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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