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1003978743
BEHAVIOR AND MOOD CLINIC
CHICAGO, IL
NPI
1003978743
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Entity Type
Organization
Authorized Contact
DANIEL W. BISHOP
President
773-750-9773
Organization Subpart ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: IL 180-004694)
Enumeration Date
2006-12-15
Last Update Date
2020-08-22
Business Address
BEHAVIOR AND MOOD CLINIC
1116 N KEDZIE AVE SUITE 524
CHICAGO, IL 60651-4152
Phone number: 773-750-9773
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Mailing Address
BEHAVIOR AND MOOD CLINIC
1116 N KEDZIE AVE SUITE 524
CHICAGO, IL 60651-4152
Phone number: 773-750-9773
Copy
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