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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CORY NIETZKE

Active Sole Proprietor

CORY NIETZKE is a Professional Counselor healthcare provider located in CHICAGO, Illinois. NPI 1962832550 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · CHICAGO, IL

Registration Details

NPI Number
1962832550
Provider Type
Individual
Gender
Male
NPI Issued
Nov 18, 2013 (12.747399491344 yrs)
Last Updated
Nov 18, 2013
License
0178.005724 (IL)
Sole Proprietor
Yes

Practice Information

Address
5547 N RAVENSWOOD AVE
CHICAGO, IL, 606401125
Browse IL providers · Browse ZIP 60640
Phone
7738180495
Fax
7737691476
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in CHICAGO, IL

Name Credential NPI
MS. DEBORAH FRY L.C.P.C. 1154313294
BEATRIZ ELISABET LEDESMA ATR LCPC 1699762872
MR. RAYMOND COLEY LCPC 1093796575
AMY LYN ZAJAKOWSKI UHLL LCPC 1053394437
MS. KATHLEEN M GRUBER MA 1326021718
JOHN D MOORE LCPC 1013993328
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.