Most Relevant Information
Provider Data
| NPI Number: | 1003641499 |
| Provider Name: | SPENCER DIMMICK |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/04/2024 |
| Last Updated: | 09/04/2024 |
Provider Practice Location
2732 N CLARK ST STE 300
CHICAGO
IL
606141553
Practice Location Phone/Fax
| Phone: | 7732501769 |
| Fax: |
Provider Mailing Location
522 W CORNELIA AVE APT 2S
CHICAGO
IL
606572743
Provider Mailing Phone/Fax
| Phone: | 5085613214 |
| Fax: |