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1518410356
JUSTIN LEITH BIRNHOLZ
HINES, IL
NPI
1518410356
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: IL 071009337)
Enumeration Date
2016-07-28
Last Update Date
2016-07-28
Business Address
DR. JUSTIN LEITH BIRNHOLZ PHD
5000 S 5TH AVE HINES VA HOSPITAL, 116B
HINES, IL 60141-3030
Phone number: 708-935-1215
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Mailing Address
DR. JUSTIN LEITH BIRNHOLZ PHD
5000 S 5TH AVE HINES VA HOSPITAL, 116B
HINES, IL 60141-3030
Phone number: 708-935-1215
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