Search › Illinois › 104100000X
John Disselhorst
NPI 1093546442 · on the registry since 2024
Practice
- Address
- 4711 N Broadway St Ste 105
Chicago, IL 60640 - Phone
- (815) 382-2981
- Organisation at this address
- Colibri Counseling
Practical Magic Healing
Remedy Alternative Care Clinic LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois