Individual
MS. JILL ANN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1070 N MILWAUKEE AVE, CHICAGO, IL 60642-4099
(312) 543-6682
Mailing address
1070 N MILWAUKEE AVE, CHICAGO, IL 60642-4099
(312) 543-6682
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180010125
IL
Other
Enumeration date
06/12/2016
Last updated
06/12/2016
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