CHANECE RICHARD

CHAMPAIGN, IL
NPI1073090502
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2018-07-27
Last Update Date2018-07-27
Business Address
CHANECE RICHARD ED.M.
800 S MATTIS AVE APT D3
CHAMPAIGN, IL 61821-4345
Phone number: 773-354-0648
Mailing Address
CHANECE RICHARD ED.M.
800 S MATTIS AVE APT D3
CHAMPAIGN, IL 61821-4345
Phone number: 773-354-0648