Individual
NICOLE ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 N MICHIGAN AVE STE 1400, CHICAGO, IL 60601-4011
(312) 815-9660
Mailing address
333 N MICHIGAN AVE STE 1400, CHICAGO, IL 60601-4011
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071010832
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/28/2016
Last updated
10/04/2022
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