| Ericka Ortiz Lcpc Nbcc Pc | |
|
799 Roosevelt Rd Building 4. Suite 101 Glen Ellyn IL 60137-5908 | |
| (773) 612-3537 | |
| Not Available |
| Full Name | Ericka Ortiz Lcpc Nbcc Pc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 799 Roosevelt Rd, Glen Ellyn, Illinois |
| Authorized Official Name and Position | Ericka Marie Ortiz (LCPC) |
| Authorized Official Contact | 7736123537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ericka Ortiz Lcpc Nbcc Pc 799 Roosevelt Rd Building 4. Suite 101 Glen Ellyn IL 60137-5908 Ph: (773) 612-3537 | Ericka Ortiz Lcpc Nbcc Pc 799 Roosevelt Rd Building 4. Suite 101 Glen Ellyn IL 60137-5908 Ph: (773) 612-3537 |
| NPI Number | 1013373547 |
|---|---|
| Provider Enumeration Date | 01/13/2016 |
| Last Update Date | 01/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013373547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180005687 (Illinois) | Primary |
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