Doctor Name: | MS. AMY NICHOLE DRUZIK |
NPI Number: | 1275977902 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | 178.008949 |
Business Practice Address: | 15601 Cicero Ave Suite 103 Oak Forest, IL - 604523635 |
Business Phone Number: | 7086873479 |
Business Fax Number: | |
Mailing Address: | 15601 Cicero Ave, Suite 103 OAK FOREST |
State: | IL |
Postal Code: | 604523635 |
Phone Number: | 7086873479 |
Fax Number: | |
NPI Enumeration Date: | 04/24/2013 |
NPI Last Update Date: | 04/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 178.008949 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |