Organization
PRIVATE PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH JANE REINECKE LCSW (PSYCHOTHERAPIST)
(786) 269-6864
Entity
Organization
Contact information
Practice address
30 N MICHIGAN AVE, SUITE 1002, CHICAGO, IL 60602-3402
(786) 269-6864
Mailing address
1524 W WINNEMAC AVE, APT. 7, CHICAGO, IL 60640-2850
(786) 269-6864
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
149015655
IL
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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