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1285819342
GRANT ADVOCATE & COUNSELING SVC OF IL
CHICAGO, IL
NPI
1285819342
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Entity Type
Organization
Authorized Contact
JERISA C. JOHNSON
Physician Owner
773-629-0524
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: IL 036119674)
Enumeration Date
2008-01-08
Last Update Date
2008-01-08
Business Address
GRANT ADVOCATE & COUNSELING SVC OF IL
1649 E 50TH ST #7E
CHICAGO, IL 60615-3128
Phone number: 773-629-0524
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Mailing Address
GRANT ADVOCATE & COUNSELING SVC OF IL
PO BOX 803031
CHICAGO, IL 60680-3031
Phone number: 773-629-0524
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