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1245744754
VINCENT JAMES HENNEBURG
OAK PARK, IL
NPI
1245744754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2017-11-20
Last Update Date
2017-11-20
Business Address
-- VINCENT JAMES HENNEBURG
120 S MARION ST
OAK PARK, IL 60302-2809
Phone number: 708-383-7500
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Mailing Address
-- VINCENT JAMES HENNEBURG
2427 W GRENSHAW ST APT 1
CHICAGO, IL 60612-4123
Phone number: 703-405-5631
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