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1346361300
GARY KANIUK
CHICAGO, IL
NPI
1346361300
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071-004656)
Enumeration Date
2007-04-03
Last Update Date
2021-04-26
Business Address
GARY KANIUK
1901 W HARRISON ST
CHICAGO, IL 60612-3714
Phone number: 773-869-7602
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Mailing Address
GARY KANIUK
10206 KEDVALE AVE
OAK LAWN, IL 60453-4240
Phone number:
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