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1588942312
COLIN F. ENNIS PSYD LLC
CHICAGO, IL
NPI
1588942312
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Entity Type
Organization
Authorized Contact
COLIN F ENNIS
Owner
312-725-9745
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: IL 071-008031)
Enumeration Date
2011-07-27
Last Update Date
2011-07-27
Business Address
COLIN F. ENNIS PSYD LLC
333 N MICHIGAN AVE SUITE 711
CHICAGO, IL 60601-3901
Phone number: 312-725-9745
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Mailing Address
COLIN F. ENNIS PSYD LLC
3450 N LAKE SHORE DR #515
CHICAGO, IL 60657-2874
Phone number: 312-725-9745
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