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1356468607
BRIAN JAMES BUILTA
ELGIN, IL
NPI
1356468607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL 21357)
Enumeration Date
2007-03-23
Last Update Date
2007-07-08
Business Address
Mr. BRIAN JAMES BUILTA MA, CADC
675 VARSITY DRIVE
ELGIN, IL 60120-8176
Phone number: 847-741-2600
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Mailing Address
Mr. BRIAN JAMES BUILTA MA, CADC
2309 MEADOWS LANE
ROUND LAKE BEACH, IL 60073-4114
Phone number: 847-548-6707
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