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1316996085
KEITH RUSSELL BAYER
SKOKIE, IL
NPI
1316996085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: IL 149011633)
Enumeration Date
2006-05-09
Last Update Date
2023-10-11
Business Address
MR. KEITH RUSSELL BAYER LCSW
5225 OLD ORCHARD RD SUITE 34
SKOKIE, IL 60077-4405
Phone number: 847-231-3729
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Mailing Address
MR. KEITH RUSSELL BAYER LCSW
5225 OLD ORCHARD RD STE 46
SKOKIE, IL 60077-1027
Phone number: 847-231-3729
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