Pezeshki, Nichole Natalie
Pezeshki, Nichole Natalie is an sole proprietor health care provider with primary practice located at 4400 W 95Th St Ste 404 , Oak Lawn IL 60453-7216. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Pezeshki, Nichole Natalie can be contacted via phone (708) 684-3980.Contact Information
Primary practice address
4400 W 95Th St Ste 404
Oak Lawn IL 60453-7216
Phone: (708) 684-3980
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149.019481 | Illinois |
Profile Details
| NPI number | 1396262879 |
|---|---|
| LBN Legal business name | Pezeshki, Nichole Natalie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2017 |
| Last updated | Dec 22nd, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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