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1326311267
GREGORY FIELDS
WAUKEGAN, IL
NPI
1326311267
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-02-22
Last Update Date
2012-02-22
Business Address
-- GREGORY FIELDS
3004 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 847-377-8120
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Mailing Address
-- GREGORY FIELDS
3010 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number:
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