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1194799312
LISA C. MEDANIC
WARRENVILLE, IL
NPI
1194799312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180-002698)
Enumeration Date
2006-02-14
Last Update Date
2007-12-13
Business Address
-- LISA C. MEDANIC L.C.P.C.
29W120 BUTTERFIELD RD STE 104A
WARRENVILLE, IL 60555-2830
Phone number: 630-393-4019
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Mailing Address
-- LISA C. MEDANIC L.C.P.C.
3126 CRYSTAL ROCK RD
NAPERVILLE, IL 60564-8241
Phone number: 630-904-9230
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