AMY BAZELON LCPC, LLC

HIGHLAND PARK, IL
NPI1124521430
Entity TypeOrganization
Authorized ContactAMY BAZELON
Member
847-707-5424
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: IL  180.010546)
Enumeration Date2018-03-13
Last Update Date2021-10-28
Business Address
AMY BAZELON LCPC, LLC
839 MOSELEY RD
HIGHLAND PARK, IL 60035-4635
Phone number: 847-707-5424
Mailing Address
AMY BAZELON LCPC, LLC
839 MOSELEY RD
HIGHLAND PARK, IL 60035-4635
Phone number: 847-432-8968
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