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1104322791
JAVIER FERNANDEZ
CHICAGO, IL
NPI
1104322791
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 33518)
Enumeration Date
2018-04-02
Last Update Date
2018-04-02
Business Address
JAVIER FERNANDEZ
6417 W IRVING PARK RD
CHICAGO, IL 60634-2437
Phone number: 773-777-6377
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Mailing Address
JAVIER FERNANDEZ
3003 S AVERS AVE
CHICAGO, IL 60623-4543
Phone number: 773-616-4807
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