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1114434479
STEVEN WILSON
CHICAGO, IL
NPI
1114434479
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 242.004755)
Enumeration Date
2018-01-08
Last Update Date
2018-01-08
Business Address
STEVEN WILSON
811 W EVERGREEN AVE STE 404
CHICAGO, IL 60642-7113
Phone number: 312-242-1665
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Mailing Address
STEVEN WILSON
811 W EVERGREEN AVE STE 404
CHICAGO, IL 60642-7113
Phone number: 312-242-1665
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