Jack Neiditch, L.C.S.W

NPI 1861711541 · on the registry since 2010 · sole proprietor

Practice

Address: 3656 N Halsted St
Chicago, IL 60613
Phone: (773) 525-9945
Organisation at this address: Center On Halsted
The Board Of Trustees Of The University Of Illinois
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-05-20

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