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Search › Illinois › 103TC0700X

Pamela Niesluchowski, PSYD

NPI 1275756413 · on the registry since 2007 · sole proprietor

Practice

Address
1580 N Northwest Hwy
Ste. 125
Park Ridge, IL 60068
Phone
(773) 616-4908
Organisation at this address
Amivo Med Llc
Amvant Med Llc
Rfmzen Med Llc
Amsora Med Llc
Dinzen Med Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
57

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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