Most Relevant Information
Provider Data
| NPI Number: | 1003441205 |
| Provider Name: | ESSIES K NAGRA LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 178.013361 |
Most Important Dates
| Enumeration Date: | 03/08/2020 |
| Last Updated: | 03/08/2020 |
Provider Practice Location
1440 N KINGSBURY ST
CHICAGO
IL
606422651
Practice Location Phone/Fax
| Phone: | 8473454881 |
| Fax: |
Provider Mailing Location
1440 N KINGSBURY ST
CHICAGO
IL
606422651
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |