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1518366004
BRIAN KONG
CHICAGO, IL
NPI
1518366004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071008677)
Enumeration Date
2014-08-20
Last Update Date
2019-11-15
Business Address
BRIAN KONG
2001 W NORTH AVE
CHICAGO, IL 60647
Phone number: 872-588-0220
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Mailing Address
BRIAN KONG
1564 N DAMEN AVE STE 208
CHICAGO, IL 60622-2102
Phone number: 872-588-9220
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