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1003161225
OAK PARK BEHAVIORAL MEDICINE LLC
OAK PARK, IL
NPI
1003161225
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Entity Type
Organization
Authorized Contact
TIFFANY TAFT
Owner
312-725-6175
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071008285)
Enumeration Date
2012-07-14
Last Update Date
2012-07-14
Business Address
OAK PARK BEHAVIORAL MEDICINE LLC
818 HARRISON ST SUITE 210
OAK PARK, IL 60304-1144
Phone number: 312-725-6175
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Mailing Address
OAK PARK BEHAVIORAL MEDICINE LLC
824 S GROVE AVE
OAK PARK, IL 60304-1125
Phone number: 312-725-6175
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