| Erin Diedling | |
|
3523 N Lincoln Ave Chicago IL 60657-1137 | |
| (773) 263-3222 | |
| (773) 929-6762 |
| Full Name | Erin Diedling |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3523 N Lincoln Ave, Chicago, Illinois |
| Authorized Official Name and Position | Erin Colette Diedling (LICENSED CLINICAL PROF COUNSELOR) |
| Authorized Official Contact | 7732633222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Erin Diedling 1926 W Roscoe St #3s Chicago IL 60657-1051 Ph: (773) 263-3222 | Erin Diedling 3523 N Lincoln Ave Chicago IL 60657-1137 Ph: (773) 263-3222 |
| NPI Number | 1790117885 |
|---|---|
| Provider Enumeration Date | 07/31/2013 |
| Last Update Date | 07/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790117885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180008568 (Illinois) | Primary |
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