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1033436969
CRANDELL W BLISS
MUNDELEIN, IL
NPI
1033436969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180004080)
Enumeration Date
2010-05-03
Last Update Date
2010-05-03
Business Address
Mr. CRANDELL W BLISS L.C.P.C.
510 N LAKE ST 2ND FLOOR, SUITE 5
MUNDELEIN, IL 60060-1865
Phone number: 847-566-2500
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Mailing Address
Mr. CRANDELL W BLISS L.C.P.C.
510 N LAKE ST 2ND FLOOR, SUITE 5
MUNDELEIN, IL 60060-1865
Phone number: 847-566-2500
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