Individual
MICHAEL NIZNIKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5000 S 5TH AVE BLDG 128, HINES, IL 60141-3030
(708) 202-8387
Mailing address
5000 S 5TH AVE BLDG 128, HINES, IL 60141-3030
(708) 202-8387
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.010176
IL
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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