| Theresa Nollette Lcsw Ltd | |
|
151 N Michigan Ave Suite 911 Chicago IL 60601-7506 | |
| (312) 540-0320 | |
| (312) 540-0315 |
| Full Name | Theresa Nollette Lcsw Ltd |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 151 N Michigan Ave, Chicago, Illinois |
| Authorized Official Name and Position | Theresa Ann Nollette (PRESIDENT) |
| Authorized Official Contact | 3125400320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Nollette Lcsw Ltd 151 N Michigan Ave Suite 911 Chicago IL 60601-7506 Ph: (312) 540-0320 | Theresa Nollette Lcsw Ltd 151 N Michigan Ave Suite 911 Chicago IL 60601-7506 Ph: (312) 540-0320 |
| NPI Number | 1568765998 |
|---|---|
| Provider Enumeration Date | 12/07/2010 |
| Last Update Date | 12/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568765998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149003940 (Illinois) | Primary |
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