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1467862508
MICHELLE BISTANY
VERNON HILLS, IL
NPI
1467862508
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-04-29
Last Update Date
2014-04-29
Business Address
-- MICHELLE BISTANY
24647 NORTH MILWAUKEE AVENUE
VERNON HILLS, IL 60061
Phone number: 847-377-7950
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Mailing Address
-- MICHELLE BISTANY
3010 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 847-377-8296
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