RENEE KLYCZEK NORDSTROM LCPC, ATR
NPI 1932652963
Counselor - Professional in Chicago Heights, IL
- Individual
- Female
- Counselor
- Professional
About RENEE KLYCZEK NORDSTROM
This page provides the complete NPI Profile along with additional information for Renee Klyczek Nordstrom, a provider established in Chicago Heights, Illinois with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1932652963 assigned on July 2016. The practitioner's primary taxonomy code is 101YP2500X with license number 180.010311 (IL). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1932652963 Verify this NPI
- Provider Name
- RENEE KLYCZEK NORDSTROM LCPC, ATR
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1527 OTTO BLVD CHICAGO HEIGHTS, IL 60411
- Location Phone
- (708) 212-0137
- Mailing Address
- 1527 OTTO BLVD CHICAGO HEIGHTS, IL 60411
- Mailing Phone
- (708) 212-0137
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-26-2016
- Last Update Date
- 07-21-2022
- Code Navigator
Location Map
Secondary Locations
- 8 Heritage Plaza
Bourbannais, IL 60914
(708) 365-8408
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 180.010311
- License State
- IL
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932652963, enumerated as an "individual" on July 26, 2016.
The provider is located at 1527 OTTO BLVD CHICAGO HEIGHTS, IL 60411 and the phone number is (708) 212-0137.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
