CHARLES MICHAEL IDERAN

OAK FOREST, IL
NPI1265446652
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  LCPC 180-001087)
Enumeration Date2006-07-28
Last Update Date2007-07-08
Business Address
-- CHARLES MICHAEL IDERAN D.Min., LCPC
6006 W. 159TH ST BLDG. C
OAK FOREST, IL 60452
Phone number: 708-535-7320
Mailing Address
-- CHARLES MICHAEL IDERAN D.Min., LCPC
923 MAPLE RD
FLOSSMOOR, IL 60422-1061
Phone number: 708-922-1194
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