Individual
CHERYL DIANE SEIFERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5935 S PULASKI RD, #9, CHICAGO, IL 60629-4554
(773) 582-1702
Mailing address
5935 S PULASKI RD, #9, CHICAGO, IL 60629-4554
(773) 582-1702
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31622906
BC BS PROVIDER NUMBER
IL
Enumeration date
11/07/2006
Last updated
07/08/2007
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