Dr. Kiya Immergluck's National Provider Identifier (NPI) Details
Dr. Kiya Immergluck, LCPC
NPI: 1437470846
Enumeration Date: 2010-06-20
Last updated: 2010-06-20
Sole Proprietor: NO
Status: active
Postal Address: 4200 N MARINE DR, #405, CHICAGO, IL
Phone: 773-880-5492
Primary Practice Address: 4200 N MARINE DR, #405, CHICAGO, IL
Practice's phone: 773-880-5492