TAYLOR GLEN SHIGERU KEOKI LEISHER

CHICAGO, IL
NPI1184267759
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  178015953)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2019-10-25
Last Update Date2023-02-02
Business Address
TAYLOR GLEN SHIGERU KEOKI LEISHER
30 N MICHIGAN AVE STE 1609
CHICAGO, IL 60602-3652
Phone number: 773-683-3555
Mailing Address
TAYLOR GLEN SHIGERU KEOKI LEISHER
862 N MARSHFIELD AVE APT 3F
CHICAGO, IL 60622-5137
Phone number: 847-208-0007