Search › Illinois › 101YP2500X
Malissa/Lisa Dieterle, LCPC; CADC
NPI 1669276242 · on the registry since 2025 · sole proprietor
Practice
- Address
- 1005 N Western Ave Unit 3
Chicago, IL 60622 - Phone
- (773) 251-5922
- Organisation at this address
- Specialized Forensic Unit Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YA0400X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-04-02
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