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Search › Illinois › 1041C0700X

Bridget Dietz, LCSW

NPI 1720522592 · on the registry since 2016 · sole proprietor

Practice

Address
4707 N Broadway St Ste 200
Chicago, IL 60640
Phone
(312) 971-9441
Organisation at this address
Ekn Lcpc Pllc
April Kopp Lcsw Pllc
Cambridge Care Group
Erin Tinnon, Lcsw, Pllc
Kanika Shukul, Lcpc, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
104100000X
104100000X
Licence states on file
KS, MO, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-08-12

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