Most Relevant Information
Provider Data
NPI Number: | 1003532706 |
Provider Name: | RICHARD CHARLES DICKINSON EDD |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 10/13/2022 |
Last Updated: | 10/13/2022 |
Provider Practice Location
1136 S DELANO CT W
CHICAGO
IL
606053740
Practice Location Phone/Fax
Phone: | 7738283747 |
Fax: |
Provider Mailing Location
4135 N DRAKE AVE
CHICAGO
IL
606182211
Provider Mailing Phone/Fax
Phone: | 7732519070 |
Fax: |