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1013557644
ILLUMINATION PSYCHOTHERAPY, PLLC
LINCOLNWOOD, IL
NPI
1013557644
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Entity Type
Organization
Authorized Contact
GARRETT SHOTWELL
Owner, CEO
773-318-7304
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2020-01-11
Last Update Date
2020-06-25
Business Address
ILLUMINATION PSYCHOTHERAPY, PLLC
7300 N CICERO AVE STE 102A
LINCOLNWOOD, IL 60712-1641
Phone number: 773-318-7304
Copy
Mailing Address
ILLUMINATION PSYCHOTHERAPY, PLLC
7300 N CICERO AVE STE 102A
LINCOLNWOOD, IL 60712-1641
Phone number: 773-318-7304
Copy
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