LI-SHANG TAI

WHEATON, IL
NPI1366005084
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-04-18
Last Update Date2019-04-18
Business Address
LI-SHANG TAI
1616 E ROOSEVELT RD STE 8
WHEATON, IL 60187-6850
Phone number: 630-715-4133
Mailing Address
LI-SHANG TAI
911 PIMPERNEL CT
NAPERVILLE, IL 60540-1946
Phone number: 630-715-4133
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