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Provider Information for 1043998230


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NIKYRA JAMES MSW, PEL, LCSW


Sex: Female

NPI: 1043998230
Last Updated: 2023-07-07
Certification Date: 2023-07-07

Details

NameValue
NPI1043998230
Enumeration Date2023-07-07
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1409 W CARROLL AVE
CHICAGO, IL 60607-1105
United States

Phone: | Fax:
 
Primary Practice Address 1409 W CARROLL AVE
CHICAGO, IL 60607-1105
United States

Phone: 312-243-8487 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalIL149.021405