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1427703289
ACTIVE THERAPY
CHICAGO, IL
NPI
1427703289
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Entity Type
Organization
Authorized Contact
ROBERT FOREMAN
Billing
630-313-0069
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-02-19
Last Update Date
2022-02-19
Business Address
ACTIVE THERAPY
5746 N VIRGINIA AVE
CHICAGO, IL 60659-3719
Phone number: 773-562-3558
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Mailing Address
ACTIVE THERAPY
5746 N VIRGINIA AVE
CHICAGO, IL 60659-3719
Phone number:
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